Enrollment & Billing Representative

HealthOne Alliance•Dalton, GA

1d•Onsite

About The Position

The Enrollment & Billing Representative is responsible for the accurate enrollment and billing processes for individual and group health insurance policies, ancillary insurance policies and the administration of Health Reimbursement Arrangements. Maintains related documents, updates corresponding records and is responsible for responding to enrollment and billing queries based on defined policies and procedures.

Requirements

High School Diploma or Equivalent
One to three years’ general work experience
Minimum of one year of health plan experience preferred
Familiarity with insurance terms and concepts
Intermediate skill with Microsoft Excel and Word

Nice To Haves

College coursework in business, health administration or related field preferred

Responsibilities

Processes enrollments from a variety of sources, including paper enrollment, emailed and faxed enrollments, and electronic (834) enrollments
Processes billing, invoices, invoice corrections, and payments for individual, group, and ancillary plan members
Processes terminations for non-payment according to Company policies and procedures
Researches and responds to appeals, HICS tickets, DOI complaints, and other grievances related to eligibility, enrollment, and billing
Uses defined process and procedures to update and reconcile enrollment and billing data
Responds to questions and concerns from internal and external parties
Researches and resolves basic enrollment and billing related issues
Maintain regular and predictable attendance
Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice
Works to encourage and promote Company culture throughout the organization
Regular and predictable attendance
Other duties as may be assigned