Enrollment and Billing Representative

Highmark Health•Washington, NV
•$20 - $27•Remote

About The Position

This position is responsible for membership enrollment and billing activities for the membership, enrollment, and billing department. The representative verifies enrollment status, updates records and databases, responds to enrollment questions and concerns, and resolves membership and billing issues. The role is in a call center environment and is remote. The schedule is Monday through Friday, 11:30 AM to 8:00 PM Eastern Time. Candidates must be U.S. citizens. Employees may handle covered information, cardholder data, and other confidential customer information and must comply with HIPAA, company privacy and information security policies, the Code of Business Conduct, applicable laws and regulations, and required training.

Requirements

  • High school diploma or GED.
  • Three years of related, progressive experience.
  • Experience using Microsoft Office applications.
  • Experience in billing/enrollment and/or customer service.
  • U.S. citizenship.
  • Strong financial aptitude and customer service/phone skills.
  • Attention to detail and organizational skills.
  • Ability to perform 10-key data entry accurately and quickly.
  • 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 service standards.
  • Ability to manage multiple tasks and respond promptly and professionally to customers and their issues.
  • Ability to take direction and navigate multiple systems simultaneously.
  • Ability to maintain composure in stressful, fast-paced conditions.

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 membership and billing discrepancies and respond accurately to written, telephone, and online inquiries.
  • Process and maintain membership data while managing 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 applicable service levels, metrics, and performance guarantees.
  • Research issues to ensure resolution.
  • Perform other duties as assigned or requested.
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