Membership Administrator I

Cambia Health Solutions • Medford, OR

2d • $18 - $27 • Remote

About The Position

Membership Administrator I
Work from home within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Every day, Cambia’s dedicated team of Membership Administrators is living our mission to make health care easier and lives better. As a member of the Membership team, our Membership Administrators establish and maintain eligibility, bill premiums, reconcile discrepancies, pursue aged accounts, and provide customer service for Individual, Group, Government Programs, COBRA, and Flexible Spending business – all in service of creating an economically sustainable health care system. Do you have a keen eye for detail and a knack for resolving discrepancies? Do you enjoy supporting customers with clarity and care across a variety of complex billing and eligibility needs? Then this role may be the perfect fit.

Requirements

• High School diploma or GED
• 1 year of accounts receivable or customer billing experience
• Equivalent combination of education and related work experience
• Typing at 30 WPM with 95% accuracy; 10-key by touch preferred (8,500 keystrokes/hour)
• Proficiency in Microsoft Word, Excel, and Outlook or comparable software
• Strong math skills with the ability to perform calculations and solve problems effectively
• Ability to coordinate, prioritize, and manage work independently with a self-motivated approach
• Strong written and verbal communication skills
• Ability to build effective working relationships while exercising sound judgment and discretion
• Wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
• Access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company.

Nice To Haves

• Experience with AI tools to enhance productivity and decision-making is highly desired

Responsibilities

• Process and maintain enrollment applications, including eligibility data, effective dates, benefits, and member information in accordance with employer/individual contracts
• Review accounts for completeness, identify missing information, and coordinate with employers, agents, and carriers to complete processing
• Generate, review, and reconcile individual and group billings, ensuring accuracy and timely cash processing in line with corporate standards
• Provide customer service to internal and external customers through written correspondence and phone, making necessary corrections as needed
• Monitor and pursue aged accounts, apply underwriting and governmental guidelines, and ensure compliance with federal, state, BCBSA, and accreditation regulations
• Order and audit member cards, research documentation, and coordinate electronic data transfers with outside entities such as CMS, employer groups, and vendors
• Support team operations through training participation, testing assistance, clerical tasks, and staff backup as needed

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

What This Job Offers

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