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Cambia Health Solutions

Membership Administrator

Posted 19 Days Ago
Remote
14 Locations
18-27
Entry level
Remote
14 Locations
18-27
Entry level
The Membership Administrator processes enrollment applications, maintains accounts, provides customer service, and ensures billing accuracy while adhering to compliance regulations.
The summary above was generated by AI

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 through.

Why Join the Cambia Team?

At Cambia, you can:  

  • Work alongside diverse teams building cutting-edge solutions to transform health care.  
  • Earn a competitive salary and enjoy generous benefits while doing work that changes lives.  
  • Grow your career with a company committed to helping you succeed. 
  • Give back to your community by participating in Cambia-supported outreach programs.  
  • Connect with colleagues who share similar interests and backgrounds through our employee resource groups.  

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.  

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: 

  • Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. 
  • Annual employer contribution to a health savings account.  
  • Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. 
  • Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). 
  • Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). 
  • Award-winning wellness programs that reward you for participation. 
  • Employee Assistance Fund for those in need. 
  • Commute and parking benefits. 

Learn more about our benefits. 

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Top Skills

Excel
Outlook
Pc
Word

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