Membership Representative I

By | September 29, 2022

Job Responsibilities : Membership Representative I

Salary : $13.73 – $18.02 an hour

Company : Elevance Health

Location : Remote US

Educational requirements : High School

  • Job Family: Customer Care
  • Type: Full time
  • Date Posted: Sep 27 2022
  • Req #: JR23886

Description

The location for this position is remote. The ideal candidate should reside in Denver CO or the Miami FL area.

The Membership Representative I position is responsible for enrollment billing activities and/or maintaining assigned accounts. Pre-employment test battery may be required.

Primary duties may include but are not limited to:

  • Responds to incoming calls and may initiate outgoing calls providing customer service to plan members providers and employer groups by answering benefit questions resolving issues and educating callers.

  • Verifies enrollment status makes changes to records researches and resolves enrollment system rejections; addresses a variety of enrollment questions and/or concerns received by phone or mail.

  • Ensures accuracy and timeliness of the membership and billing function. Responds to inquiries concerning enrollment processes.

  • Maintains enrollment database.

  • May order identification cards.

  • Determines eligibility and applies contract language for each case assigned.

  • Performs error output resolution for electronic eligibility and processes error discrepancy list.

  • Maintains and reconciles premium bill self-bill and individual billed accounts.

  • Screens all forms and data for all paperwork received from Sales and/or Underwriting for new group and/or group re-classing benefits.

  • Makes request to Underwriting Sales or Brokers for missing information and/or forms needed for new group or re-class of existing group.

  • May be responsible for loading rates to new groups and renewal/re-class groups within the appropriate system.

  • Screens group for benefits to determine if existing or new recognizing when benefits are not standard and handling as appropriate.

  • Thoroughly documents inquiry outcomes for accurate tracking and analysis.

  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

  • Performs basic job functions with help from co-workers specialists and managers on non-basic issues.

Minimum Requirements:

  • High school diploma or GED equivalent and related experience; or any combination of education and experience which would provide an equivalent background.

Applicable to Colorado Applicants Only

Hourly Pay Range*: $13.73/hr – $18.02/hr

Actual compensation may vary from posting based on geographic location work experience education and/or skill level.

  • The hourly or salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned vested and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus commission benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion consistent with the law.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem Inc. we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases paid holidays Paid Time Off and incentive bonus programs (unless covered by a collective bargaining agreement) medical dental vision short and long term disability benefits 401(k) +match stock purchase plan life insurance wellness programs and financial education resources to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021 is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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