[Hiring] Membership Eligibility Processor @Cambia Health Solutions

Role Description

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Every day, Cambia's dedicated Membership Eligibility Processor lives our mission to make health care easier and lives better. As a member of the Sales Support and Operations, our Membership Eligibility Processor establishes and maintains accurate subscriber and member level eligibility through:

• Processing of new applications
• Member additions and deletions
• Policy revisions
• Demographic changes
• Renewal changes
• Any other maintenance affecting eligibility

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

Qualifications

• High school diploma or GED
• Minimum of 6 months of data entry experience
• 30 words per minute (wpm) keying speed; 10-key proficiency by touch
• Detail-oriented and self-motivated
• Ability to exercise judgment, initiative, and discretion
• Strong interpersonal skills
• Understanding of mathematical calculations and concepts
• PC experience required including proficiency with Word, Excel, Outlook
• Ability to communicate effectively in both written and verbal formats

Requirements

• Process individual, small, large, trust, and specialized group enrollment applications
• Review, maintain, and enter changes on individual and/or group & trust accounts
• Place calls to obtain information required to complete application processing
• Perform all eligibility tasks accurately and timely to meet MTM requirements
• Handle responses to inquiries to meet BlueCross and BlueShield Association (BCBSA) standards
• Meet established departmental performance expectations
• Conduct business in compliance with the Corporate Code of Business Conduct

Benefits

• Medical, dental and vision coverage for employees and their eligible family members
• Annual employer contribution to a health savings account
• Generous paid time off varying by role and tenure
• Market-leading retirement plan including a company match on employee 401(k) contributions
• Up to 12 weeks of paid parental time off
• Award-winning wellness programs
• Employee Assistance Fund for those in need
• Commute and parking benefits