Premium Billing Specialist
About The Position
The Premium Billing Specialist provides front-line support to Select Health Individual members and employer groups, handling billing and enrollment inquiries by phone and other communication channels. The role applies a general understanding of processes and policy requirements to collect documentation, guide customers, and accurately enter data in designated systems. The specialist handles payments and uses enrollment systems while maintaining confidentiality and complying with applicable standards to provide dependable, customer-focused service. This is an in-person position in Las Vegas, Nevada.
Requirements
- Proven experience in a customer-facing role, preferably in healthcare or insurance.
- Strong proficiency with CRM systems and data entry, with attention to detail.
- Excellent communication and interpersonal skills across multiple channels.
- Ability to multitask, prioritize, and manage time in a fast-paced environment.
- Effective problem-solving skills and ability to remain calm under pressure.
- Professional phone communication.
- Health plan eligibility knowledge.
- Secure payment processing knowledge.
- Accounts receivable knowledge.
- Written and verbal communication skills.
- Customer experience skills.
- Data privacy and confidentiality skills.
- Documentation and recordkeeping skills.
- Digital literacy and system navigation skills.
- Typing speed and accuracy.
- Proficiency in Microsoft Office Suite, including Excel, Outlook, and Teams.
- Stress management and resilience.
- Task prioritization, active listening, and time and workflow management.
- Ability to read and interpret digital and printed materials, assess customer needs, and identify relevant tools and resources.
- Ability to communicate verbally with team members and customers, with clear speech and active listening.
- Manual dexterity for computer use and equipment handling, including typing and navigating software platforms.
Nice To Haves
- Background in healthcare finance or enrollment operations, including accounts payable/receivable, eligibility verification, or payroll.
- Experience with process optimization and negotiation.
- Strong organizational and analytical skills, including data collection and reporting.
Responsibilities
- Provide customer support to Select Health Individual members through inbound calls and live chat.
- Coordinate with employer group representatives to reconcile basic account adjustments and facilitate accurate payment processing.
- Respond to billing, enrollment, and account-related inquiries with clear guidance.
- Partner with internal departments to troubleshoot and resolve billing and enrollment concerns.
- Process member payments in accordance with financial controls and compliance protocols.
- Help members and agents navigate enrollment platforms and access documentation while protecting data privacy and meeting regulatory requirements.
- Maintain accurate, detailed records of customer interactions and account updates.
- Evaluate member accounts for reinstatement eligibility and calculate outstanding payment requirements according to billing policies and plan guidelines.
- Review and validate peer-submitted reinstatement requests for accuracy, completeness, and compliance with billing and enrollment standards.
- Follow internal policies and state and federal regulatory requirements.
- Meet or exceed productivity, accuracy, and customer satisfaction performance metrics.
Benefits
- A generous benefits package with programs intended to support well-being and a sustainable culture of wellness.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
