Membership Administrator I

Company	Cambia Health Solutions
Location	Post Falls, ID, USA, Yakima, WA, USA, Tacoma, WA, USA, Medford, OR, USA, Burlington, WA, USA, Boise, ID, USA, Beaverton, OR, USA, Pocatello, ID, USA, Spokane, WA, USA, Moscow, ID, USA, Portland, OR, USA, Vancouver, WA, USA, Bend, OR, USA
Salary	$17.75 – $26.4
Type	Full-Time
Degrees
Experience Level	Entry Level/New Grad, Junior, Mid Level

High School diploma or GED
One year accounts receivable or customer billing experience or an equivalent combination of education and job-related work experience for Membership Administrator I
One year experience as Membership Administrator I for Membership Administrator II
18 months as a Membership Administrator II for Membership Administrator III
30 wpm with 95% accuracy typing skills
10-key by touch (8500 keystrokes per hour with 95% accuracy preferred)
PC experience – Word, Excel and Outlook – or comparable software – and ability to learn and use complex systems
Strong math skills (mathematical calculations and concepts)
Ability to coordinate and prioritize work
Must be diligent and self-motivated
Must be conscientious and maintain attendance at or above departmental standards
Ability to exercise judgment, initiative and discretion in confidential, mature and sensitive manner
Ability to communicate effectively both orally and in writing
Ability to establish effective working relationships with staff and customers

Process enrollment applications for individuals and groups, calculating eligibility data, effective dates, and entering member information consistent with contracts
Review and maintain account changes including effective dates, additions/deletions of members, and verify information through calls to employers, subscribers, or carriers as needed
Provide customer service through written correspondence and phone inquiries, making necessary corrections while ensuring member confidentiality
Perform eligibility and reconciliation tasks accurately and timely, including generating and reviewing billings, processing cash, and monitoring aged accounts to meet corporate standards
Order and audit member cards for accuracy, including corporate logos, lines of business co-pay, PCP, and member card comments
Apply corporate underwriting guidelines, governmental regulations, and updated policies to ensure compliance with federal, state, BCBSA and accreditation requirements
Coordinate electronic data transfer with external entities including CMS, employer groups, agents, and vendors; assist with system testing as needed
Support team operations by providing phone coverage, assisting with clerical tasks, participating in training, and working overtime when required