Account Administration Representative

Job Summary

To support the California Service Center, the full-time remote Account Administration Representative will manage account maintenance, billing, reconciliation, and customer service activities while ensuring accurate eligibility determination and compliance with Health Plan policies.

Key responsibilities:

• Identifying and reconciling billing payment amounts to ensure accurate membership records
• Setting up and maintaining member data, including processing enrollments and terminations
• Interacting with purchasers to resolve billing inquiries and ensure compliance with contractual provisions

Required qualifications:

• Proficiency in math and data entry, with required testing
• Demonstrated ability to work in a team-based environment
• Successful customer service track record
• Computer experience in a PC Windows-based environment
• Willingness to learn new tasks and adapt to changing business requirements