Remote
Job Description:
The Premium Billing Specialist provides front-line support to Select Health Individual members and employer groups by assisting with billing and enrollment inquiries through phone and other communication channels. This role utilizes a general understanding of processes and policy requirements to help collect documentation, guide customers, and ensure accurate data entry in designated systems. While handling payments and navigating enrollment systems, the specialist maintains confidentiality and adheres to compliance standards to deliver a dependable and customer-focused experience.We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington.
Essential Functions
- Provide exceptional customer support to Select Health Individual members through inbound calls and live chat.
- Coordinates with employer group representatives to reconcile basic account adjustments and facilitate accurate payment processing.
- Respond to inquiries and provide clear guidance on billing, enrollment, and account-related processes.
- Partner with internal departments to troubleshoot and resolve billing and enrollment concerns.
- Process member payments in accordance with established financial controls and compliance protocols.
- Assist members and agents in navigating enrollment platforms and accessing documentation while ensuring data privacy and regulatory compliance.
- Maintain accurate and detailed records of customer interactions and account updates.
- Evaluates member accounts to determine reinstatement eligibility and calculates outstanding payment requirements in alignment with billing policies and plan guidelines.
- Reviews and validates peer-submitted reinstatement requests to ensure accuracy, completeness, and alignment with established billing and enrollment standards.
- Adhere to internal policies and state/federal regulatory requirements.
- Consistently meet or exceed performance metrics including productivity, accuracy, and customer satisfaction.
Skills
- Professional Phone Communication
- Health Plan Eligibility Knowledge
- Secure Payment Processing
- Accounts Receivable
- Written and Verbal Communication
- Customer Experience Excellence
- Data Privacy and Confidentiality
- Documentation and Recordkeeping
- Digital Literacy and System Navigation
- Typing Speed and Accuracy
- Proficiency in Microsoft Office Suite (Excel, Outlook, Teams)
- Stress Management and Resilience
- Task Prioritization
- Active Listening Techniques
- Time and Workflow Management
Qualifications
Minimum Qualifications
- Proven experience in a customer-facing role, preferably in healthcare or insurance.
- Strong proficiency in CRM systems and data entry, with attention to detail.
- Excellent communication and interpersonal skills across multiple channels.
- Demonstrated ability to multi-task, prioritize, and manage time in a fast-paced environment.
- Effective problem-solving skills and ability to remain calm under pressure.
Preferred Qualifications
- Background in healthcare finance or enrollment operations, including AP/AR, eligibility verification, or payroll.
- Experience with process optimization and negotiation.
- Strong organizational and analytical skills, including data collection and reporting.
Physical Requirements
- Ability to read and interpret digital and printed materials, assess customer needs, and identify relevant tools and resources.
- Frequent verbal communication with team members and customers, requiring clear speech and active listening.
- Manual dexterity for computer use and equipment handling, including typing and navigating software platforms.
Location:
SelectHealth - Murray
Work City:
MurrayWork
State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.85 - $30.21
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
