Membership Administrator I

Overview

Work from home within Oregon, Washington, Idaho or Utah.

This role supports the Membership team by establishing and maintaining eligibility, billing premiums, reconciling discrepancies, pursuing aged accounts, and providing customer service for Individual, Group, Government Programs, COBRA, and Flexible Spending business.

Responsibilities

• Process and maintain enrollment applications, including eligibility data, effective dates, benefits, and member information in accordance with employer/individual contracts.
• Review accounts for completeness; identify missing information; coordinate with employers, agents, and carriers to complete processing.
• Generate, review, and reconcile individual and group billings, ensuring accuracy and timely cash processing in line with corporate standards.
• Provide customer service to internal and external customers through written correspondence and phone; make necessary corrections as needed.
• Monitor and pursue aged accounts; apply underwriting and governmental guidelines; ensure compliance with federal, state, BCBSA, and accreditation regulations.
• Order and audit member cards; research documentation; coordinate electronic data transfers with outside entities such as CMS, employer groups, and vendors.
• Support team operations through training participation, testing assistance, clerical tasks, and staff backup as needed.

Requirements

• High School diploma or GED.
• 1 year of accounts receivable or customer billing experience.
• Equivalent combination of education and related work experience.

Skills and Attributes

• Typing at 30 WPM with 95% accuracy; 10-key by touch preferred (8,500 keystrokes/hour).
• Proficiency in Microsoft Word, Excel, and Outlook or comparable software.
• Strong math skills with the ability to perform calculations and solve problems effectively.
• Experience with AI tools to enhance productivity and decision-making is highly desired.
• Ability to coordinate, prioritize, and manage work independently with a self-motivated approach.
• Strong written and verbal communication skills.
• Ability to build effective working relationships while exercising sound judgment and discretion.

Compensation & Benefits

Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.

• Oregon, Washington, Utah, and Idaho: The expected hiring range is $18.25 - $23.00 an hour, the full salary range is $18.25 - $27.20 an hour, and the bonus target is 5%.

Benefits highlights include:

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with the employer immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

Additional note: a wired internet connection is required (not satellite or cellular) and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. New hires must have access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining.

Location

Work from home within Oregon, Washington, Idaho or Utah.

Additional Information

• Equal Opportunity employer dedicated to a drug and tobacco-free workplace.
• Background check is required.
• If accommodation is needed for any part of the application process because of a medical condition or disability, request accommodation through the employer’s accommodations channel.