Membership Specialist III

Job Summary

Working remotely in a full-time capacity, the Membership Specialist III will perform enrollment activities for multiple lines of business, conduct complex reconciliation analysis, and implement process improvements to enhance customer experience.

Key responsibilities

• Review plan provisions and apply relevant contractual, state, and federal guidelines
• Research and resolve complex account discrepancies and financial reconciliations
• Identify improvement opportunities and participate in user acceptance testing for new processes and tools

Required qualifications

• Three years of experience in customer service, accounting, finance, or billing
• Associate's or Bachelor's Degree in accounting or finance (preferred)
• Experience in the healthcare or insurance industry (preferred)
• Prior experience in Premera Customer Service or Membership & Billing (preferred)
• Availability to work within the 7am to 5pm PDT timeframe