Associate Enrollment & Billing Representative/HNAS

Posted 14 Hours Ago
Be an Early Applicant
50 Locations
19-24
Entry level
Healthtech
The Role
The Associate Enrollment & Billing Representative handles membership and billing tasks, resolves discrepancies, and processes data for the enrollment and billing department.
Summary Generated by Built In

Company :Highmark Inc.Job Description : 

JOB SUMMARY

Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members.  Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases.

  • HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve.

Hiring Requirements

Job Details

  • Job Profile

    Job Profile

    • HM-010249 - Associate Customer Service Representative

  • Job Families for Job Profiles

    Job Families for Job Profiles

    • Customer Services-HM

  • Worker Sub-Type

    Worker Sub-Type

    • Regular

  • Worker Type

    Worker Type

    • Employee

  • Time Type

    Time Type

    • Full time

  • Compensation Grade

    Compensation Grade

    • HM-205

  • Remote Type

    Remote Type

    • Remote

  • Primary Location

    Primary Location

      Work From Anywhere

  • Primary Job Posting Location

    Primary Job Posting Location

      Work From Anywhere

  • Additional Locations

    Additional Locations

    (empty)

  • Additional Job Posting Locations

    Additional Job Posting Locations

    (empty)

  • Scheduled Weekly Hours

    Scheduled Weekly Hours

    40

  • Work Shift

    Work Shift

    (empty)

  • Recruiting Start Date

    Recruiting Start Date

    03/31/2025

  • Target Hire Date

    Target Hire Date

    03/31/2025

  • Target End Date

    Target End Date

    (empty)

Additional Information

  • Union Membership from Job Profile

    Union Membership from Job Profile

    (empty)

  • Allowed Unions from Job Profile

    Allowed Unions from Job Profile

    (empty)

Collective Agreement Details

  • Collective Agreement

    Collective Agreement

    (empty)

ESSENTIAL RESPONSIBILITIES

  • Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries
  • Process and maintain membership data. Manage multiple production oriented tasks and responsibilities.
  • Perform various billing, accounts receivable, and reconciliation activities.
  • Create and distribute membership/billing materials and communications to clients/members.
  • Ensures acceptable service levels, metrics, and/or other performance guarantees are met.
  • Conduct research to ensure issue resolution. 
  • Other duties as assigned or requested.

QUALIFICATIONS

Minimum:

  • High school diploma/GED
  • 0-1 years of experience
  • Experience using Microsoft Office Applications 
  • Experience in Billing/Enrollment and/or Customer Service

Preferred

  • Associates or Bachelor’s degree in business or a related field
  • Prior finance related experience
  • Prior healthcare industry experience
  • Prior Enrollment and Billing experience     

SKILLS

  • Strong financial aptitude
  • Solid customer service/phone skills
  • Attention to detail
  • Organizational skills
  • 10-key data entry with both quality and speed
  • Basic accounting knowledge and ability to reconcile enrollment and/or payment information
  • Proven ability to analyze and resolve problems
  • Knowledge of principles and processes for providing customer service, including customer needs assessment and meeting standards.
  • Ability to handle many tasks simultaneously and respond to customers and their issues promptly and professionally.  
  • Ability to take direction and to navigate through multiple systems simultaneously.
  • Ability to maintain composure under stressful and fast-paced conditions.

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$19.01

Pay Range Maximum:

$23.72

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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The Company
HQ: Pittsburgh, PA
17,989 Employees
On-site Workplace
Year Founded: 1977

What We Do

Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms.

A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best.

Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia.

We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions.

We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.

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