Membership Specialist III (Healthcare Insurance)

Location: Telecommuter; hiring is limited to the listed U.S. states: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, and Wisconsin.

Salary: $48,400–$72,600 national range; $55,200–$82,800 national plus range for higher-cost labor markets, including Western Washington and Alaska.

Company

hirify.global provides health insurance services focused on improving healthcare access and customer outcomes.

What you will do

• Review plan provisions and apply line-of-business rules, contractual terms, and state and federal healthcare regulations.
• Investigate and resolve complex account discrepancies and financial reconciliation issues across company and third-party systems.
• Identify root causes, recommend improvements, and mitigate issues affecting accuracy, efficiency, and service.
• Develop and maintain membership requirements within Premera systems.
• Participate in user acceptance testing and support the rollout of new processes, features, and tools.
• Communicate plan requirements and build relationships with internal stakeholders, business partners, and customers.

Requirements

• At least three years of experience in customer service, accounting, finance, and/or billing.
• An associate or bachelor's degree in accounting or finance.
• Healthcare or insurance industry experience.
• Experience in Premera Customer Service or Membership & Billing is beneficial.

Culture & Benefits

• Medical, vision, and dental coverage with low employee premiums.
• Life and disability insurance, retirement programs with a 401(k) match, and a pension plan vested after three years.
• Paid time off, wellness resources, counseling, stress management, and mindfulness programs.
• Tuition assistance for undergraduate and graduate education.
• Employee recognition programs and resources supporting professional development.