1 Enrollment & Billing Representative Job in Meridian, ID

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Enrollment & Billing Representative

Blue Cross of Idaho

Meridian, ID | Full Time

$40k-49k (estimate)

11 Months Ago

Enrollment & Billing Representative

Blue Cross of Idaho Meridian, ID

$40k-49k (estimate)

Full Time | Insurance 11 Months Ago

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Blue Cross of Idaho is Hiring an Enrollment & Billing Representative Near Meridian, ID

Blue Cross of Idaho is seeking an Enrollment & Billing Representative for our Meridian location. EBR's are responsible for enrollment and billing activities for our members. The selected person will establish and maintain enrollment and accounts receivable records for group or individual accounts. They will communicate with group representatives, members and applicants regarding enrollment and billing inquiries.

For the first 6 months, this is an onsite position at our Meridian, Idaho campus. Once you have completed your first 6 months, you may be able to work a hybrid schedule of 3 days in the office and 2 days’ work from home. The work from home days will be discussed at completion of 6 months. Please note, you will not be able to work from home on both Friday and Monday.

Preferred Education:

Preference for high school diploma or equivalency, degree, and/or industry-related certification(s).

Preferred Experience:

Strong preference for 1/ years in health industry, general office, basic accounting, or related experience. Useful skills and abilities in the role include:

Qualifications:

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 translating 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)

A typically day may look like:

Process membership activity by establishing records, changing, coding, 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 on the Facets system.
Receive, research, and reply to telephone, written and electronic inquiries related to enrollment and billing, within corporate and departmental guidelines. Issues correspondence to members, as required. Research enrollment requests for completeness timelines and applicable regulations.
Performs quality checks on enrollment processing transactions, providing 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.

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.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Insurance

SALARY

$40k-49k (estimate)

POST DATE

06/21/2023

EXPIRATION DATE

07/03/2024

WEBSITE

bcidaho.com

HEADQUARTERS

LEWISTON, ID

SIZE

500 - 1,000

FOUNDED

1945

TYPE

NGO/NPO/NFP/Organization/Association

CEO

THOMAS EIER

REVENUE

$500M - $1B

INDUSTRY

Insurance

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About Blue Cross of Idaho

Blue Cross of Idaho provides health insurance, dental insurance and medicare advantage coverage to the residents.

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The following is the career advancement route for Enrollment & Billing Representative positions, which can be used as a reference in future career path planning. As an Enrollment & Billing Representative, it can be promoted into senior positions as an Enrollment & Billing Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Enrollment & Billing Representative. You can explore the career advancement for an Enrollment & Billing Representative below and select your interested title to get hiring information.