Remote Membership Billing Specialist II

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

Job summary

Premera Blue Cross is seeking a Membership Specialist II to support reconciliation analysis and enrollment/billing for individual or group accounts. You will utilize reconciliation databases and tools, resolving complex issues and maintaining thorough notes to manage financial risk and member satisfaction.

You will work in a telecommuter role with hours aligned to Pacific/Mountain/Central Time Zones (7am–5pm PT).

Qualifications

• High School diploma or GED required.
• Two years of accounting/finance/bookkeeping experience or an Associate’s Degree in accounting/finance/bookkeeping required.
• One year prior experience as Membership Analyst I or in a Premera position with reconciliation experience required.
• Health or insurance industry experience preferred.
• Associates or Bachelor’s degree in accounting/finance preferred.

Responsibilities

• Identify, resolve and document complex reconciliation discrepancies; process refunds and premium transfers.
• Validate accounts receivable by detailed reconciliation and audit of premiums and memberships.
• Use Access or Excel to update eligibility, enrollment and reconciliation of accounts.
• Meet department metrics for production and quality; stay updated on policies and procedures.
• Educate members, brokers, or groups on membership and billing processes.

Skills

Reconciliation

Accounting/Finance experience

Excel

Access

Customer service

Education

High School diploma or GED

Associate’s Degree in accounting/finance

Bachelor’s degree in accounting/finance

Tools

Excel

Access

Job description

Premera Blue Cross is seeking a Membership Specialist II to support reconciliation analysis and enrollment/billing for individual or group accounts. You will utilize reconciliation databases and tools, resolving complex issues and maintaining thorough notes to manage financial risk and member satisfaction.

You will work in a telecommuter role with hours aligned to Pacific/Mountain/Central Time Zones (7am–5pm PT).