Enrollment & Billing Representative
Bcidaho

Blue Cross of Idaho is seeking an Enrollment and Billing Representative for our Commercial Group Team. As an EBR, you will be responsible for but not limited to:

• Enrollment and billing activities for the membership assigned.
  
• Research and process enrollment requests, such as: additions, terminations, plan adjustments, membership moves, and retro requests.
  
• Receive, research, and reply to telephone, written and electronic inquiries related to enrollment and billing, within corporate and departmental guidelines.
  
• Communicate with Brokers, Group Administrators, internal, and external customers.
  
• Be proficient in researching and auditing to ensure enrollment transactions are setup correctly.
  

This is an onsite position at our Meridian Idaho campus.

Required Education:

No specific educational requirement for this position. Preference for high school diploma or equivalency, degree, and/or industry-related certification(s).

Required Experience:

None required

Preferred Experience:

• Strong preference for 1/+ years in health industry, general office, basic accounting, or related experience.
  
• Digital literacy, such as Microsoft Office Suite, data entry and typing, using multiple software applications, general computer skills, and intranet/internet navigation. Preferred experience using Facets and other Blue Cross of Idaho specific software programs
  
• Proofreading and accurately translate and code enrollment forms for entry
  
• Problem-solving, following established workflows, and assessing workflows per regulations
  
• Communication and coordination with internal and external departments
  

Preferred Qualifications:

Knowledge of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA), and/or the Employee Retirement Income Security Act of 1974 (ERISA)

Your day may look like:

• Process membership activity by establishing records, changing, coding applications, and entering data. Review applications for completeness and maintain proper administration of underwriting regulations on eligibility and acceptance of premiums.
  
• Assure prompt, complete, and accurate reconciliation of daily income by researching and adjusting membership records and reconciling paid bills/coupons. Send correspondence and collect premiums on delinquent accounts. Maintain eligibility and billing in the Facets system.
  
• Receive, research, and reply to telephone, written and electronic inquiries related to enrollment and billing, within corporate and departmental guidelines. Research enrollment requests for completeness, timelines, and applicable regulations.
  
• Provides input and updates to workflows, training programs and quality assurance tools, as required. Assures all documents are properly coded and prepared for the Image/Archive System.
  
• Maintain knowledge of federal regulations including, but not limited to the following: HIPAA, COBRA, and ERISA. Complies with all local, state, and federal regulations.
  
• Perform other duties and responsibilities as assigned.
  

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

This job has expired.