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ASO Membership Administrator I - III, DOE

ASO Membership Administrator I - III, DOE

Washington StaffingOlympia, WA, US
1 day ago
Job type
  • Full-time
Job description

Membership Administrator I - III

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 and Member Services Operations team, our Membership Administrator 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. The Membership Administrator II would have a High School diploma or GED and one year experience as Membership Administrator I performing all duties at the Core or higher performance level or an equivalent combination of education and job-related work experience. The Membership Administrator III would have a High School diploma or GED and 18 months as a Membership Administrator II performing at the Core or higher performance level 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.
  • Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.

What You Will Do at Cambia :

  • Process enrollment applications for individuals and groups, including calculating waiting periods, entering member data, benefits information, and ensuring compliance with employer / individual contracts.
  • Maintain and update member accounts by processing changes such as effective dates, adding / removing members from coverage, and making necessary corrections or adjustments.
  • Conduct outreach communications to employers, and agents to verify information needed for complete application processing.
  • Provide comprehensive customer service to internal and external customers through written correspondence and telephone support, resolving inquiries and issues.
  • Perform eligibility verification and reconciliation tasks accurately and timely, identifying payment discrepancies and ensuring proper billing processes.
  • Generate and review billing statements for accuracy before distribution.
  • Order / audit member cards against applications for correct information and corporate branding.
  • Apply underwriting guidelines and regulatory compliance including corporate policies and state / federal regulations, particularly for government programs.
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    Administrator Iii • Olympia, WA, US

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