Enrollment and Billing Representative

Highmark Health • Carolina, PA

1d • Remote

About The Position

This position performs enrollment and billing activities for the membership, enrollment, and billing department, serving clients and/or members in a call center environment. Work includes verifying enrollment status, updating records, responding to enrollment questions and concerns, resolving membership and billing issues, and accessing and maintaining enrollment and billing databases. The position is remote and follows a Monday–Friday schedule from 11:30 AM to 8:00 PM Eastern Time. Applicants must be U.S. citizens.

Employees must comply with the company’s code of business conduct, applicable laws and policies, HIPAA privacy requirements, and information security guidelines. The role may involve access to covered information, cardholder data, or other confidential customer information, which must be protected. The listed pay range is $19.66 to $27.42; actual base pay depends on factors such as qualifications, experience, expected contributions, internal equity, market, and business considerations.

Requirements

• High school diploma or GED.
• At least 3 years of related, progressive experience.
• Experience using Microsoft Office applications.
• Experience in billing/enrollment and/or customer service.
• Strong financial aptitude.
• Strong customer service and phone skills.
• Attention to detail and organizational skills.
• 10-key data-entry skills with both quality and speed.
• Basic accounting knowledge and ability to reconcile enrollment and/or payment information.
• Ability to analyze and resolve problems.
• Knowledge of customer-service principles and processes, including assessing customer needs and meeting standards.
• Ability to handle many tasks simultaneously and respond to customers and their issues promptly and professionally.
• Ability to take direction and navigate multiple systems simultaneously.
• Ability to maintain composure in stressful, fast-paced conditions.
• Must be a U.S. citizen.

Nice To Haves

• Associate degree in business or a related field.
• Bachelor’s degree in business or a related field.
• Prior finance-related experience.
• Prior healthcare industry experience.
• Prior enrollment and billing experience.

Responsibilities

• Communicate with internal and external contacts to resolve discrepancies in membership and billing information and provide accurate responses to written, telephone, and online inquiries.
• Process and maintain membership data.
• Manage multiple production-oriented tasks and responsibilities.
• Perform billing, accounts receivable, and reconciliation activities.
• Create and distribute membership and billing materials and communications to clients and members.
• Meet acceptable service levels, metrics, and other performance guarantees.
• Conduct research to resolve issues.
• Perform other duties as assigned or requested.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED