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Billing & Eligibility Coordinator

WM MICHAEL STEMLER INC
Stockton, CA Remote Full Time
POSTED ON 7/18/2026
AVAILABLE BEFORE 9/18/2026

POSITION RESPONSIBILITIES

  • Review and reconcile client eligibility and payments.
  • Determines active, retiree, and COBRA eligibility based on plan sponsor plan provisions.
  • Processes enrollment eligibility files and completes enrollment edits in system queues.  
  • Enter new employees and dependents into the system and make changes to existing records as required.
  • Ensure identification cards are ordered correctly and timely according to plan sponsor and company guidelines.
  • Post & reconcile client payments.
  • Process vendor disbursements and reconciles payments according to vendor requirements and company guidelines.
  • Disburse end-of-the-month reports to clients as required.
  • Completes the review of and responds to vendor discrepancy reports as assigned.
  • Interprets and communicates COBRA and HIPAA regulations.
  • Handles self-pay administration according to plan provisions and guidelines.
  • Answers email and call inquiries from participants, clients, vendors and local unions.
  • Provides customer service and maintains effective relationships with clients, participants, agents, and brokers.
  • Update and maintain Client Policy and Procedure document.
  • Adheres to and is responsible for the understanding of company eligibility policies and procedures and resources.
  • Meets department production and quality metrics.
  • Participates in and contributes to mandatory department meetings, training, and company events.
  • Completes company, department, or plan sponsor special projects.
  • Follows company attendance policy and adheres to provisions in the collective bargaining agreement.
  • Upholds and exemplifies company values.
  • Performs other duties as assigned.
  • Review and process all internal and client specific weekly and/or monthly reports.
  • Email and Group folder organization.
Qualifications:

This position is customer service oriented. It requires the ability to effectively communicate with HR staff at client groups, in addition to other external and internal customers; can prioritize assignments/tasks; work steadily, accurately and thoroughly; successfully meet assigned deadlines; evaluating and decision-making skills; reconciliation skills.

Education/Experience

  • Completion of High School or equivalent, including or supplemented by a course in bookkeeping, accounting or related. AA degree preferred.
  • Minimum 6 months in customer service with bookkeeping or accounting experience.
  • Can operate a 10-key adding machine.
  • Must possess good oral and written communication skills along with strong basic mathematical skills.
  • Proficient in Microsoft Applications and computer literacy.

Salary : $22

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