Job description
Join Our Team: Do Meaningful Work and Improve People’s Lives
Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.
To better serve our customers, we’re creating a culture that promotes employee growth, collaborative innovation, and inspired leadership.
Forbes ranked Premera among America’s 2022 Best Midsize Employers
because we are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives!
COVID-19 Vaccination Policy:
To learn more about our COVID-19 vaccination and accommodation requirements, please visit our Careers landing page.
As an Enrollment Specialist, you will join the Membership and Billing team within the Operations division. In this role, you will review and process paper and electronic enrollment applications, apply plan specific rules and regulations, and determine eligibility for each enrollment scenario. Perform plan changes to customer accounts, research and resolve enrollment discrepancies, and address a variety of enrollment tasks, questions or concerns by phone, mail, or email from internal and external customers. You’ll have a big impact on customer satisfaction by addressing and resolving urgent escalated customer needs in a timely manner.
This is a virtual/telecommuter position, working from home.
What you will do:
- Responsible for reviewing and processing paper and electronic plan applications, plan changes and other member eligibility or payment related requests and applying specific rules inherent to each enrollment scenario. Apply contractual, state, and federal guidelines as appropriate and utilize various databases in support of business rule application.
- Coordinate and manage enrollment and eligibility exception processes to ensure contract guidelines are met.
- Meet and sustain all department production, performance, and quality standards and remain current on company/departmental policies and procedures.
- Prepare written member or group communications utilizing department standards and templates.
- Initiate and respond directly to inbound/outbound phone calls to external or internal customers.
- Communicate timely and effectively with various internal departments, producers, agents, subscribers or group administrators regarding eligibility, billing, and payment inquiries.
- Assist with enrollment auditing as business requires.
- Special projects and/or other administrative duties as assigned.
What you will bring:
- High School diploma or GED (Required).
- 1 year work experience (Required).
- Data entry experience preferred.
- Must have proficient skill using Excel, Word, and Windows-based applications.
- Health or insurance industry experience.
- Previous customer service experience.
- Detail orientated.
What we offer
- Medical, vision and dental coverage
- Life and disability insurance
- Retirement programs (401K employer match and pension plan)
- Wellness incentives, onsite services, a discount program and more
- Tuition assistance for undergraduate and graduate degrees
- Generous Paid Time Off to reenergize
- Free parking
Equal employment opportunity/affirmative action:
Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.
If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785.
The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.
National Salary Range:
$33,700.00 - $48,800.00
National Plus Salary Range:
$38,900.00 - $55,200.00
- National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.
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