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Job Summary

The Membership Financial Specialist I processes all financial tasks in an accurate and timely manner for the assigned product line. The incumbent is responsible for processing of renewals, updates, changes, reinstatements, premium billing, responding to inquiries, and reconciling accounts. The incumbent works closely and directly interacts with external customers such as employer groups, brokers/consultants, and with internal customers such as Underwriting, Account Management, Sales, Customer Service staff, Claims staff, etc. to answer questions and resolve issues.

Requirements

EDUCATION

High school diploma or equivalent.

EXPERIENCE

Minimum two (2) years' college coursework (48 semester hours) or other equivalent certification with an emphasis in general business, health plan administration, or medical-related fields of study OR minimum of one (1) year of relevant office work in an accounting or banking field (I.e. bank teller, cashier, AP clerk, bookkeeper etc.).

ESSENTIAL SKILLS & ABILITIES

Strong time management and organizational skills

Results-driven with highly developed attention to detail

Primary focus on accuracy and outcomes

Customer service

Strong interpersonal skills

Keyboarding

Dependability

High integrity

Confidentiality

Problem solving

Research skills

Issue resolution

Sound judgment

Computer literacy

Microsoft Office

Oral and written communication

Teamwork

Skills

• Analyze Information • Computer Work • Conflict Resolution • Critical Thinking • Customer Service • Decision Making • Deductive Reasoning • Oral Communications • Organizing • Problem Sensitivity • Problem Solving • Process Information • Researching • Teamwork • Time Management • Written Communication

Responsibilities

• Coordinates billing service function to support electronic and technical operations. • Coordinates with management to ensure compliance and accuracy throughout billing operations. • Drives and supports high-work-volume Open Enrollment activities each year. • Performs other duties as assigned. • Processes billing transactions to ensure delivery, clearance, and documentation. • Provides excellent customer service and guidance to both internal and external customers by maintaining ongoing correspondence that includes, but is not limited to billing, records, questions or concerns, database requests, account balance, last payment information, delinquency status, etc. • Provides lead technical support and guidance to billing. • Records and responds to incoming and outgoing calls or other forms of communication regarding payments. • Resolves customer complaints and inquiries regarding a variety of issues, requests, and discrepancies related to account balances, billing questions, payment issues, delinquencies, and account adjustments. • Responsible and accountable for up-to-date knowledge and achievement of divisional standards related to production, quality, and dependability.

Certifications

Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.

Segregation of Duties

Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

Employment Type

Regular

ADA Requirements

1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.

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