Membership Spoecialist

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! Anticipated Assignment End Date: 01/31/2024Job Description:Backfill for 5 Resources to be filled by Robert HalfJob SummaryReview 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 received by phone, mail, or email from internal and external customers. Address and resolve urgent escalated customer needs in a timely manner.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 GEDOne (1) year work experienceTwo (2) years of experience in Accounting/Finance/Bookkeeping (Preferred.)Health or insurance industry experience (Preferred.)Previous customer service experience (Preferred.)Data entry and keyboarding skills.Working knowledge of computer software such as Excel, Word, and Windows-based applications.Good written and verbal communications skills along with the ability to effectively communicate with internal & external customers.Ability to work independently, displaying skills in the areas of decision mak Requirements Customer Service, Communication, Microsoft Excel, Planning, Procedures, Research, Microsoft Word, Database, Inbound Outbound Calls, Finance, Workstation Support, Auditing, Phone Presenc, Leadership Skills, Billing, Production, Regulation, Bookkeeping Functions, Discrepancy, Consumer Electronics, Paper, HealthCare.gov, Customer Account, Templates, Innovation Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .