Anthem Inc. Jobs

Job Information

Anthem, Inc. Membership Representative II in New York, New York

Description

SHIFT: Day Job

SCHEDULE: Full-time

Responsibilities:

Responsible for enrollment, billing activities and/or maintaining assigned accounts. Must be able to successfully perform all the duties of the Membership Rep I.

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 and/or concerns received by phone or mail.

  • May be responsible for 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.

  • May order identification cards.

  • Determines eligibility and applies contract language for each case assigned.

  • Performs error output resolution for electronic eligibility and processes error discrepancy lists.

  • Maintains and reconciles premium bill, self-bill and individual billed accounts.

  • Notifies clients of premium discrepancies through payment adjustment notices and detailed audits.

  • Screens all forms and data for all paperwork received from Sales and/or Underwriting for new group and/or group re-classing benefits.

  • Makes request to Underwriting, Sales or Brokers for missing information and/or forms needed for new group or re-class of existing group.

  • May be responsible for loading rates for new groups and renewal/re-class groups within the appropriate system.

  • Screens group for benefits to determine if existing or new, recognizing when benefits are not standard and handling as appropriate.

  • Thoroughly documents inquiry outcomes for accurate tracking and analysis.

  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

Qualifications

Minimum Requirements:

  • Requires H.S. diploma or GED and a minimum of 1 year relevant healthcare customer servicing experience which includes a minimum of 1 year membership experience with the company; or any combination of education and experience which would provide an equivalent background.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

    REQNUMBER: PS58275

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