Billing Specialist

Overview

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.

• Full time, in office
• Monday-Friday 8:30am-5:00pm PT, with rotating Saturday shift: 8:00am-2:00pm PT (will work 1-2x Saturdays a month, depending on coverage)
• Training period
• Two weeks paid training
• Training hours:
  Monday-Friday 8:00am-4:30pm PT
• Busiest time of the year—Open Enrollment (mid-December through end of February). During this time each year, we have blackout dates for PTO and some mandatory OT (up to 1-2 hours, depending on business needs).
• The Premium Billing Specialist position is responsible for providing superior customer service primarily over the phone by assisting members with their insurance premiums and researching or resolving any discrepancies with their billing.
• The Entry pay for this position is $19.85 and may go up a little depending on experience.

• Provide exceptional customer support to Select Health Individual members through inbound calls and live chat.
• Coordinate 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.
• Evaluate member accounts to determine reinstatement eligibility and calculate outstanding payment requirements in alignment with billing policies and plan guidelines.
• Review and validate 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.

• 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

• 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.

• 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.

• 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…