Healthfirst

The Enrollment & Billing Specialist (EBS) is responsible for enrolling new and renewing existing Healthfirst members into the Healthfirst Managed Healthcare System in an accurate and timely fashion. The EBS processes all member payment information, responds to member inquiries and performs account analysis.

• ** This position is Remote

Job Description

• Maintain daily production and quality requirements to meet the department Service Level Agreement
• Process and perform quality control measures on enrollment and disenrollment transactions and billing activities
• Review and analyze eligibility and billing reports to ensure members are properly enrolled and premium payments correctly applied to accounts
• Partner with Member Services and other departments to address and resolve member issues within the expected timeframes
• Process payments and refunds, updating members’ accounts to reflect changes
• Additional duties as assigned

• Minimum Qualifications: 
• High School diploma or GED equivalent from an accredited institution
• Work experience of multitasking between programs, data entry or client look up systems
• Experience working with multiple Microsoft Excel worksheets including filtering and updating information on a daily basis
• Experience using Microsoft Outlook including email, tasks and calendar functions
• Experience using Microsoft Word for creating letters, memos and general correspondence
• Experience with business process and customer relationship management systems
• Ability to work overtime as the business requires

• Preferred Qualifications: 
• Bachelor’s degree from accredited institution
• Ability to solve problems and find solutions
• Effective verbal and written communication skills
• Previous auditing or analytical experience
• Experience with data mining, report analysis or reconciliation experience within a healthcare billing or commercial insurance environment.
• Experience with Microsoft Access as a database management system
• Work experience reviewing, approving and processing applications or member records
• Experience with reviewing New York State Medicaid/Medicare Health Plans

Compliance & Regulatory Responsibilities: NA
License/Certification: NA

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $47,403 - $62,400

• All Other Locations (within approved locations): $41,101 - $60,320

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.