Anthem Membership Rep III - OH/KY/IN - PS12833 in Miamisburg, Ohio
Membership Rep III - OH/KY/IN - PS12833
Location: Kentucky, United States
Field: Membership & Enrollment
Requisition #: PS12833
Post Date: 5 days ago
Responsible for enrollment, billing activities and maintaining assigned accounts. Must be able to successfully perform all the duties of the Membership Rep II. Primary duties may include, but are not limited to: Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers. Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions or concerns received by phone or mail. Responsible for all billing and delinquency processes for assigned groups. Ensures accuracy and timeliness of the membership and billing function. Responds to inquiries concerning enrollment processes. Maintains enrollment database. Orders Identification Cards. Determines eligibility and applies contract language for each case assigned. Performs error output resolution for electronic eligibility and processes error discrepancy list. Bills, collects premiums and reconciles payments. Maintains and reconciles premium bill, self-bill and individual billed accounts. Notifies clients of premium discrepancies through payment adjustment notices and detailed audits. Fully proficient in all key areas; performs most complex work. Requires H. S. graduate or GED; 3-5 years relevant membership experience which includes at least 2 years of membership experiencen with the company; or any combination of education and experience, which would provide an equivalent background.