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The Membership Administrator processes enrollment applications, maintains eligibility data, and reconciles individual and group billings. They also provide customer service to internal and external stakeholders while ensuring compliance with federal and state regulations.
Work from home within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia’s dedicated team of Membership Administrators is living our mission to make health care easier and lives better. As a member of the Membership team, our Membership Administrators establish and maintain eligibility, bill premiums, reconcile discrepancies, pursue aged accounts, and provide customer service for Individual, Group, Government Programs, COBRA, and Flexible Spending business – all in service of creating an economically sustainable health care system.
Do you have a keen eye for detail and a knack for resolving discrepancies? Do you enjoy supporting customers with clarity and care across a variety of complex billing and eligibility needs? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
High School diploma or GED
1 year of accounts receivable or customer billing experience
Equivalent combination of education and related work experience
Skills and Attributes:
Typing at 30 WPM with 95% accuracy; 10-key by touch preferred (8,500 keystrokes/hour)
Proficiency in Microsoft Word, Excel, and Outlook or comparable software
Strong math skills with the ability to perform calculations and solve problems effectively
Experience with AI tools to enhance productivity and decision-making is highly desired
Ability to coordinate, prioritize, and manage work independently with a self-motivated approach
Strong written and verbal communication skills
Ability to build effective working relationships while exercising sound judgment and discretion
What You Will Do at Cambia:
Process and maintain enrollment applications, including eligibility data, effective dates, benefits, and member information in accordance with employer/individual contracts
Review accounts for completeness, identify missing information, and coordinate with employers, agents, and carriers to complete processing
Generate, review, and reconcile individual and group billings, ensuring accuracy and timely cash processing in line with corporate standards
Provide customer service to internal and external customers through written correspondence and phone, making necessary corrections as needed
Monitor and pursue aged accounts, apply underwriting and governmental guidelines, and ensure compliance with federal, state, BCBSA, and accreditation regulations
Order and audit member cards, research documentation, and coordinate electronic data transfers with outside entities such as CMS, employer groups, and vendors
Support team operations through training participation, testing assistance, clerical tasks, and staff backup as needed
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Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.
Oregon, Washington, Utah, and Idaho: The expected hiring range is $18.25 - $23.00 an hour, the full salary range is $18.25 - $27.20 an hour, and the bonus target is 5%.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning 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, person-focused health care. Whether we're 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:
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 market-leading 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:
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.
As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free 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 CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
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