Membership Administrator I
Indexed description
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.
Qualifications
What You Bring to Cambia:
- 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
- Experience with AI tools to enhance productivity and decision-making is highly desired
- 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
- 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
- Oregon, Washington, Utah, and Idaho: The expected hiring range is $18.25 - $23.00 an hour, the full salary range is $18.25 - $27.20 an hour, and the bonus target is 5%.
Why Join the Cambia Team?
At Cambia, You Can
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
Benefits
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- 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.
As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
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