Membership Administrator -III, DOE

Membership Administrator I-III, DOEWork from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Every day, Cambia's dedicated team of Membership Administrators is living our mission to make health care easier and lives better. As a member of the Membership team, our Membership Administrators establish and maintain eligibility, bill premiums, reconcile discrepancies, pursue aged accounts, and provide customer service for Individual, Group, Government Programs, COBRA, and Flexible Spending business - all in service of creating an economically sustainable health care system.

Do you have a keen eye for detail and a knack for resolving discrepancies? Do you enjoy supporting customers with clarity and care across a variety of complex billing and eligibility needs? Then this role may be the perfect fit.

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

• 40 wpm with 95% accuracy typing skills.
• Demonstrated strong math skills (mathematical calculations and concepts) and judgment to implement effective problem solving.

• 50 wpm with 95% accuracy typing skills.
• Must be able to work independently with minimal direction and supervision.
• Proven strong math skills (mathematical calculations and concepts), judgment and other resources to implement effective problem solving.

• 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

• 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, and 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, making necessary corrections as needed
• Monitor and pursue aged accounts, apply underwriting and governmental guidelines, and ensure compliance with federal, state, BCBSA, and accreditation regulations
• Order and audit member cards, research documentation, and 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

• Accurately and timely perform all eligibility and reconciliation tasks for assigned business segment, following established procedures and identifying discrepancies between payments and invoiced amounts.
• Assist with coaching, mentoring, and training as directed by Supervisor; serve as a resource for team questions.
• Model ethical behavior and professionalism in all internal and external interactions.
• Deliver professional presentations and…