Membership Administrator I - III, DOE
Membership Administrator I - III, DOE
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Job Description
Membership Administrator I III DOE
Work from home within Oregon Washington or Idaho
Build a career with purpose. Join our Cause to create a personfocused and economically sustainable health care system.
Who We Are Looking For:
Every day Cambias dedicated team of Membership Administrators are living our mission to make health care easier and lives better. As a member of the Customer & Member Services Operations team our Membership Administrator establishes and maintains eligibility bills premium reconciles cash and member discrepancies pursues aged accounts and provides eligibility and billingrelated customer service for Individual Group Government Programs Cobra and Flexible Spending business.
Do you thrive as a part of a collaborative caring team Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
The Membership Administrator I would have a High School diploma or GED and oneyear accounts receivable or customer billing experience or an equivalent combination of education and jobrelated work experience.
The Membership Administrator II would have a High School diploma or GED and one year experience asMembership Administrator I performing all duties at the Core or higher performance level or an equivalent combination of education and jobrelated work experience.
The Membership Administrator III would have a High School diploma or GED and 18 months as a Membership Administrator II performing at the Core or higher performance level or an equivalent combination of education and jobrelated work experience.
Skills and Attributes:
30 wpm with 95% accuracy typing skills.
10key 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) judgment and other resources to implement effective problem solving.
Ability to coordinate and prioritize work.
Must be diligent and selfmotivated.
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
What You Will Do at Cambia:
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 copay 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.
The expected hiring range for a Membership Administrator I is $17.75 $20.60/hour depending on skills experience education and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $17.75 $26.80/hour.
The expected hiring range for a Membership Administrator II is $17.75 $22.20/hour depending on skills experience education and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $17.75 $28.90/hour.
The expected hiring range for a Membership Administrator III is $19.00 $26.40/hour depending on skills experience education and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $19.00 $34.40/hour.
About Cambia
Working at Cambia means being part of a purposedriven awardwinning culture built on trust and innovation anchored in our 100 year history. Our caring and supportive colleagues are some of the best and brightest in the industry innovating together toward sustainable personfocused health care. Whether were helping members lending a hand to a colleague or volunteering in our communities our compassion empathy and team spirit always shine through.
Why Join the Cambia Team
At Cambia you can:
- Work alongside diverse teams building cuttingedge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambiasupported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck and your compensation should be too. Our compensation package includes competitive base pay as well as a marketleading 401(k) with a significant company match bonus opportunities and more.
In exchange for helping members live healthy lives we offer benefits that empower you to do the same. Just a few 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 companypaid holidays.
- Marketleading 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 Cambia immediately preceding leave).
- Awardwinning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity employer dedicated to a drug and tobaccofree workplace. All qualified applicants will receive consideration for employment without regard to race color national origin religion age sex sexual orientation gender identity disability protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability please email . Information about how Cambia Health Solutions collects uses and discloses information is available in our .
Required Experience:
Unclear Seniority
Employment Type
Full-Time
