[Hiring] Billing & Enrollment Specialist @WPS—A health solutions company

Role Description

The Billing and Enrollment Specialist processes membership enrollment functions and assists in billing, cash posting, and ID card generation for new groups and members within our Health Plan. They enter and maintain all group and membership data in our enrollment system. This role provides support and answers questions or inquiries received from members, agents, and group leaders, relating to membership information to ensure administrative requirements are fulfilled and customer expectations are met.

• Hourly Rate of Pay: $19.76 /hour
• The base pay offered for this position may vary from the posted range based on your job-related knowledge, skills, and experience.
• Work Schedule: Core flex hour - Monday-Friday 8-hour days. Typically core hours are between 7:30am-5:00pm Central.
• Work Location: Open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.

Qualifications

• High School Diploma, GED or equivalent.
• 2 or more years of experience in health plan operations, enrollment, billing, or related healthcare field.
• Proficient in billing and enrollment processes and procedures.
• Excellent verbal and written communication and interpersonal skills.
• Ability to work independently, be self-motivated and maintain positive relationships with customers and colleagues.
• Strong organizational and problem-solving skills with proven attention to detail.

Requirements

• Enjoy responding to written and phone inquiries from members, agents, and group leaders.
• Can verify, enter, and maintain all group level and member level contract data for new business including updating changes to demographic, premium, benefit, and status information.
• Like to maintain awareness of underwriting guidelines, policy provisions, and product specifications as they pertain to customers.
• Can ensure accuracy and adherence of coverage for certified availability of coverages.
• Have processed group cancellations and conduct final accounting reviews.
• Could perform collections of delinquent premium and termination for non-payment of premium.
• Like to research and resolve eligibility discrepancies and errors; provide an explanation to customers to address the discrepancy or error.
• Can communicate and inform managers of issues that will require additional attention or procedure exceptions as needed to resolve a customer inquiry.

Benefits

• Remote work options available.
• Performance bonus and/or merit increase opportunities.
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately).
• Competitive paid time off.
• Health insurance, dental insurance, and telehealth services start DAY 1.
• Professional and Leadership Development Programs.