Enrollment & Billing Representative (Government Programs)

locationMeridian - Idaho (ID),

atBlue Cross of Idaho

Estimated salary $43,251 - $99,741 a year

Job Description:

Team Members are responsible for enrollment and billing activities for the membership, ensuring timely and compliant processing of all Medicare Advantage eligibility transactions according to Medicare (CMS), State and Blue Cross of Idaho guidelines through coding, entering, quality checks and workflow development.

Required Experience: none required; strong preference for 1/+ years in health industry, general office, basic accounting, or related experience.

Education: No specific educational requirement for this position. Preference for high school diploma or equivalency, degree, and/or industry-related certification(s).

Skills & Abilities:

  • Digital literacy, such as Microsoft Office Suite, data entry and typing, using multiple software applications, general computer skills, and intranet/internet navigation

  • Proofreading and accurately translate and code enrollment forms for entry

  • Problem-solving, following established workflows, and assessing workflows against changing CMS regulations

  • Communication and coordination with internal and external departments

Preferred qualifications:

  • Experience with government program(s) such as Medicare Advantage

  • Experience in reconciliation and


  • Experience researching multiple databases and applying regulations

  • Your day may look like:

    • Receives, researches and replies to telephone, written and electronic inquiries related to enrollment and billing, within corporate and departmental guidelines.

    • Researches enrollment requests for completeness timelines and applicable regulations.

    • Issues correspondence to members, as required.

    • Performs quality checks on enrollment processing transactions, providing input and updates to workflows, training programs and quality assurance tools, as required.

    • Complies with all local, state and federal regulations.

    • Perform other duties and responsibilities as assigned.

    Position Reports to: Supervisor Service Operations - Enrollment & Billing Services, Duals -Government Programs

    Internal Job Posting: 12/08/2020 - 12/15/2020

    External Job Posting: 12/08/2020 - Until Filled

    We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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