Enrollment & Billing Rep

Contract

Summary

Our Client is seeking an Enrollment & Billing Representative for our Meridian location. Enrollment & Billing Representatives are responsible for enrollment and billing activities for the membership. The selected person will establish and maintain enrollment and accounts receivable records for group or individual accounts. They will communicate with group representatives, members and applicants regarding enrollment and billing inquiries.

This will be an onsite position at our Meridian, Idaho location. Schedule: Mon-Friday 8am-5pm

Duties and Responsibilities

• Process membership activity by establishing records, changing, coding and entering data. Review applications for completeness and maintain proper administration of underwriting regulations on eligibility and acceptance of premiums.
• Assure prompt, complete and accurate reconciliation of daily income by researching and adjusting membership records and reconciling paid bills/coupons. Send correspondence and collect premiums on delinquent accounts. Maintain eligibility and billing on the Facets system.
• Receive, research and reply to telephone, written and electronicinquiries related to enrollment and billing, within corporate and departmental guidelines. Issues correspondence to members, as required. Research enrollment requests for completeness timelines and applicable regulations.
• Performs quality checks on enrollment processing transactions, providing input and updates to workflows, training programs and quality assurance tools, as required. Assures all documents are properly coded and prepared for the Image/Archive System.
• Maintain knowledge of federal regulations including, but not limited to the following: HIPAA, COBRA and ERISA. Complies with all local, state and federal regulations.
• Perform other duties and responsibilities as assigned.
  

Qualifications

• Digital literacy, such as Microsoft Office Suite, data entry and typing, using multiple software applications, general computer skills, and intranet/internet navigation. Preferred experience using Facets and other specific software programs
• Proofreading and accurately translate and code enrollment forms for entry
• Problem-solving, following established workflows, and assessing workflows per regulations
• Communication and coordination with internal and external departments
• Experience in professional office environment, to include health insurance/healthcare and/or finance/banking.
• Knowledge of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA), and/or the Employee Retirement Income Security Act of 1974 (ERISA)

Education and Experience

• Preference for high school diploma or equivalency, degree, and/or industry-related certification(s).
• Strong preference for 1-3/ years in office environment to include: insurance, health industry, general office, basic accounting, banking/finance, complex call center, or related experience.
  

Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.

Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit https://dexian.com/ to learn more.

Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.