Remote Membership Specialist II - Billing & Enrollment Pro

Premera Blue Cross; Hydaburg (AK); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health, vision, and dental coverage

401K employer match

Pension plan after 3 years

Wellness programs

Paid time off

Tuition assistance

On-site parking (hybrid on-campus)

Job summary

Premera Blue Cross is seeking a Membership Specialist II to perform complex reconciliation analysis and audit activities for individual or group accounts receivable, focusing on enrollment and billing issues with minimal supervision. You will work to mitigate financial risk while educating members and brokers on policy processes.

This role supports performance metrics, uses Excel/Access for data updates, and requires understanding of contractual guidelines, with hybrid/hybrid-like flexibility in

Qualifications

• High School diploma or GED required.
• Two years 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, transfers of premiums, reinstatements, and insufficient fund issues.
• Maintain accurate notes and enrollment changes; support billing and enrollment processes.
• Educate members, brokers, or groups on membership and billing processes.
• Respond to electronic feeds and web-entry issues identified via reports.
• Ensure compliance with federal and state regulations.

Education

High School diploma or GED

Associate’s degree in accounting/finance

Associates or Bachelor’s degree in accounting/finance

Tools

Excel

Access

Job description

Premera Blue Cross is seeking a Membership Specialist II to perform complex reconciliation analysis and audit activities for individual or group accounts receivable, focusing on enrollment and billing issues with minimal supervision. You will work to mitigate financial risk while educating members and brokers on policy processes.

This role supports performance metrics, uses Excel/Access for data updates, and requires understanding of contractual guidelines, with hybrid/hybrid-like flexibility in