Membership Administrator I

About the role

Build a career with purpose at Cambia by joining our Membership team as a Membership Administrator. You’ll help create a person-focused and economically sustainable health care system by establishing and maintaining eligibility, billing premiums, reconciling discrepancies, pursuing aged accounts, and providing customer service for Individual, Group, Government Programs, COBRA, and Flexible Spending business.

Responsibilities

• 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

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

Pay

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%.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits
• Annual employer contribution to a health savings account
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period)
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave)
• Award-winning wellness programs that reward you for participation
• Employee Assistance Fund for those in need
• Commute and parking benefits