Remote Membership Reconciliation Expert II

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

Benefits offered by this job

Medical coverage

Vision coverage

Dental coverage

Pet insurance

401K match

Pension plan

Wellness programs

Paid time off

Job summary

Premera Blue Cross in the United States seeks a Membership Specialist II to perform complex reconciliation analysis, enrollment and billing support for Individual or Group accounts. The role emphasizes accurate notes, problem resolution, and collaboration with internal and external partners.

The position is telecommuter with hours 7am–5pm PT across time zones; requires 2 years accounting experience or an associate degree, plus familiarity with Excel and Access.

Qualifications

• High School diploma or GED (Required)
• Two years accounting/finance/bookkeeping experience or an Associate’s Degree (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 and maintain detailed notes.
• Process refunds, transfers of premiums, reinstatements, and insufficient fund issues.
• Process new enrollment and/or eligibility changes as needed and educate members on processes.
• Research, investigate, and resolve enrollment system rejections and billing issues.
• Educate members, brokers, or groups on membership and billing processes.

Skills

Accounting

Reconciliation

Auditing

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 in the United States seeks a Membership Specialist II to perform complex reconciliation analysis, enrollment and billing support for Individual or Group accounts. The role emphasizes accurate notes, problem resolution, and collaboration with internal and external partners.

The position is telecommuter with hours 7am–5pm PT across time zones; requires 2 years accounting experience or an associate degree, plus familiarity with Excel and Access.