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Membership Administrator

Cambia Health Solutions
Burlington, United Statesfull_timeVerifiedPosted 3 Feb 2025
💰 $53,600/yr($35,500/yr$53,600/yr)

About the role

Membership Administrator

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 are living our mission to make health care easier and lives better. As a member of the Customer & Member Services Operations team, the Membership Administrator I establishes and maintains eligibility, bills premium, reconciles cash, pursues aged accounts and provides eligibility and billing related 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 thrive as a part of a collaborative, caring team? Then this role may be the perfect fit.

What You Bring to Cambia: 

Qualifications:  

The Membership Administrator I would have a High School diploma or GED and one year accounts receivable or customer billing experience or an equivalent combination of education and job-related work experience.

Skills and Attributes: 

  • 30 wpm with 95% accuracy typing skills.

  • 10-key by touch (8500 keystrokes per hour with 95% accuracy preferred).

  • PC experience – Word, Excel and Outlook – or comparable software – and ability to learn and use complex systems.

  • Strong math skills (mathematical calculations and concepts), judgment and other resources to implement effective problem solving.

  • Ability to organize and prioritize work.

  • Must be detail-oriented and self-motivated.

  • Must be dependable and maintain attendance at or above departmental standards.

  • Must be able to exercise judgment, initiative and discretion in confidential, mature and sensitive manner.

  • Must be able to communicate effectively both orally and in writing.

  • Must be able to establish effective working relationships with staff and customers

What You Will Do at Cambia:  

  • Process individual and group enrollment applications, calculating waiting-period credit, eligibility data, effective dates, and entering benefits, bank draft, and member information. 

  • Review, maintain, and update individual and group accounts, including changes to effective dates, additions or deletions of members, and other updates.

  • Provide customer service to internal and external customers, responding to phone inquiries, and making necessary corrections or adjustments. 

  • Perform eligibility and reconciliation tasks accurately and timely, adhering to established procedures and identifying discrepancies. 

  • Generate and review group or individual billings, ensuring accuracy before distributing.

  • Order and audit member cards, ensuring accuracy and compliance with corporate logos, lines of business, and other requirements. 

  • Apply corporate underwriting and governmental guidelines and policies in eligibility processing, and ensure compliance with State and Federal regulations.

  • Meet established departmental performance expectations, including cash processing, aged account management, and quality standards.

  • Perform various administrative tasks, including phone coverage, mail, filing, and special projects, and participate in training and staff meetings.

The expected hiring range for a Membership Administrator is $17.75 - $20.60/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $17.75 - $26.80/hour.

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 th

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Company

Cambia Health Solutions

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