Remote Membership & Billing Specialist II

Premera Blue Cross; United States; Remote; USD 42,000 - 71,000; Full time

Benefits offered by this job

Free on-site parking

Commuter perks

On-site fitness center

Job summary

Premera Blue Cross seeks a diligent Membership Specialist II to perform moderate to complex reconciliation analyses for Individual or Group accounts receivable, applying accounting principles with minimal supervision. You will resolve enrollment, reconciliation, and billing issues while coaching customers on contractual guidelines and maintaining thorough notes throughout the process.

Primary hours are 7am–5pm PT in Pacific/Mountain/Central Time Zones; this telecommuter role supports hybrid

Qualifications

• High School diploma or GED; 2 years accounting/finance/bookkeeping experience or an Associate’s Degree in accounting/finance/bookkeeping (Required).
• 1 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, transfers of premiums, reinstatements, and insufficient fund issues.
• Validate accounts receivable by detailed reconciliation and audit of premiums and membership.
• Use Access or Excel to update eligibility, enrollment and reconciliation of accounts.
• Meet department metrics for production and quality; stay current on policies and procedures.
• Educate members, brokers, or groups on membership and billing processes; use portal and contract interpretation.
• Communicate with clients or state agencies to resolve issues identified via reporting.

Skills

Reconciliation

Audit

Excel

Access

Enrollment

Billing

Education

High School diploma

Associate/Bachelor in accounting/finance

Tools

Access

Excel

Job description

Premera Blue Cross seeks a diligent Membership Specialist II to perform moderate to complex reconciliation analyses for Individual or Group accounts receivable, applying accounting principles with minimal supervision. You will resolve enrollment, reconciliation, and billing issues while coaching customers on contractual guidelines and maintaining thorough notes throughout the process.

Primary hours are 7am–5pm PT in Pacific/Mountain/Central Time Zones; this telecommuter role supports hybrid