Senior Membership & Billing Specialist (Remote)

Superior Dental Care, Inc.; Cleveland, Northern (OH, KY); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health Savings Account

401(k) with match

Employee bonus program

Tuition reimbursement

Career development programs

Job summary

Medical Mutual is seeking an Administrative Support professional to assist with membership and billing responsibilities in Ohio. You will maintain member health plan records, generate monthly invoices, and serve as the first point of contact for internal clients, groups, and brokers regarding eligibility and billing inquiries.

The role involves coordinating enrollment changes, reviewing COB updates, and supporting implementation meetings with clients.

Qualifications

• Bachelor's degree preferred, but collective experience, training and education will be considered.
• 3 years' experience as a Membership/Billing Representative or equivalent in health insurance membership/billing.
• Health care field certification is a plus (e.g. medical terminology, coder/biller).

Responsibilities

• Process enrollment transactions such as group additions, terminations, renewals.
• Prepare invoices and reports.
• Respond to eligibility inquiries via multiple channels.
• Assist with system tests, upgrades, and releases.
• Participate in client implementation meetings to support sales.
• Verify timely review and approval of enrollment information submitted by customers.
• Train junior representatives and coordinate with other departments on group set ups.
• Identify process deficiencies and implement improvements with management approval.
• Perform other duties as assigned.

Skills

Health insurance knowledge

Microsoft Office

Eligibility administration

Education

Bachelor's degree in Business Administration or related field

Tools

Microsoft Office

Job description

Medical Mutual is seeking an Administrative Support professional to assist with membership and billing responsibilities in Ohio. You will maintain member health plan records, generate monthly invoices, and serve as the first point of contact for internal clients, groups, and brokers regarding eligibility and billing inquiries.

The role involves coordinating enrollment changes, reviewing COB updates, and supporting implementation meetings with clients.