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.
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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
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Job Profile
Job Profile
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HM-010249 - Associate Customer Service Representative
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Job Families for Job Profiles
Job Families for Job Profiles
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Customer Services-HM
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Worker Sub-Type
Worker Sub-Type
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Regular
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Worker Type
Worker Type
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Employee
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Time Type
Time Type
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Full time
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Compensation Grade
Compensation Grade
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HM-205
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Remote Type
Remote Type
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Remote
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Primary Location
Primary Location
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Work From Anywhere
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Primary Job Posting Location
Primary Job Posting Location
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Work From Anywhere
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Additional Locations
Additional Locations
(empty)
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Additional Job Posting Locations
Additional Job Posting Locations
(empty)
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Scheduled Weekly Hours
Scheduled Weekly Hours
40
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Work Shift
Work Shift
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Recruiting Start Date
Recruiting Start Date
03/31/2025
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Target Hire Date
Target Hire Date
03/31/2025
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Target End Date
Target End Date
(empty)
Additional Information
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Union Membership from Job Profile
Union Membership from Job Profile
(empty)
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Allowed Unions from Job Profile
Allowed Unions from Job Profile
(empty)
Collective Agreement Details
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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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