Remote Membership & Billing Specialist II

Premera Blue Cross; Minnesota; Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical, vision, dental coverage

401K employer match

Pension plan

Paid time off

Tuition assistance

Employee recognition program

Job summary

Premera Blue Cross in Minnesota offers a telecommuter role for a Membership Specialist II focused on complex reconciliation, enrollment and billing issue resolution. You will leverage reconciliation databases and tools to ensure accurate premium handling and customer satisfaction, while coaching internal and external customers on contractual guidelines.

This role emphasizes timely documentation, compliance with regulations, and collaboration with partners to resolve enrollment and payment

Qualifications

• High School diploma or GED.

Responsibilities

• Identify, resolve and document complex reconciliation discrepancies and process refunds.
• Validate accounts receivable by detailed reconciliation and audit of premiums.
• Use Excel and Access to update eligibility, enrollment and reconciliation.
• Meet department metrics for production and quality.
• Educate members, brokers, or groups on billing processes and portal usage.
• Respond promptly to member/broker inquiries and ensure timely reporting.

Job description

Premera Blue Cross in Minnesota offers a telecommuter role for a Membership Specialist II focused on complex reconciliation, enrollment and billing issue resolution. You will leverage reconciliation databases and tools to ensure accurate premium handling and customer satisfaction, while coaching internal and external customers on contractual guidelines.

This role emphasizes timely documentation, compliance with regulations, and collaboration with partners to resolve enrollment and payment