Remote Membership Specialist II – Billing & Enrollment

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

Benefits offered by this job

Medical, vision, dental coverage

401K employer match

Pension plan

Wellness programs

Paid time off

Tuition assistance

Employee recognition

Job summary

Premera Blue Cross seeks a Membership Specialist II to perform complex reconciliation and audit activities for Individual or Group accounts receivable, using reconciliation databases and Excel/Access to ensure accurate enrollment and billing records.

The role requires the ability to resolve disputes, communicate with internal/external partners, and support regulatory compliance. Hybrid/remote options and strong growth opportunities are offered.

Qualifications

• Two years of recent accounting/finance/bookkeeping experience or an Associate’s Degree in accounting/finance/bookkeeping.
• One year of experience as Membership Analyst I or in a Premera position with reconciliation experience.
• Health or insurance industry experience preferred.

Responsibilities

• Identify, resolve and document complex reconciliation discrepancies independently.
• Process refunds, transfers of premiums, reinstatements, and insufficient fund issues.
• Maintain accurate notes and handle enrollment changes as needed.
• Educate members, brokers or groups on membership and billing processes
• Communicate with clients/state agencies to resolve electronic feed issues

Skills

Accounting/finance

Reconciliation

Excel

Access

Education

Associate degree in accounting/finance

Tools

Excel

Access

Job description

Premera Blue Cross seeks a Membership Specialist II to perform complex reconciliation and audit activities for Individual or Group accounts receivable, using reconciliation databases and Excel/Access to ensure accurate enrollment and billing records.

The role requires the ability to resolve disputes, communicate with internal/external partners, and support regulatory compliance. Hybrid/remote options and strong growth opportunities are offered.