Anthem, Inc. A

Membership Representative III

Found in: Lensa US


Day Job


Your Talent. Our Vision. At HealthSun, a proud member of the Anthem, Inc.

family of companies, it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities.

Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

The Membership Represenative III is responsible for enrollment, billing activities and maintaining assigned accounts. Must be able to successfully perform all the duties of the Membership Rep II.

Primary duties may include, but are not limited to:

  • Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers.
  • Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions or concerns received by phone or mail.
  • Responsible for all billing and delinquency processes for assigned groups.
  • Ensures accuracy and timeliness of the membership and billing function.
  • Responds to inquiries concerning enrollment processes.
  • Maintains enrollment database.
  • Orders Identification Cards.
  • Determines eligibility and applies contract language for each case assigned.
  • Performs error output resolution for electronic eligibility and processes error discrepancy list.
  • Bills, collects premiums and reconciles payments.
  • Maintains and reconciles premium bill, self-bill and individual billed accounts.
  • Notifies clients of premium discrepancies through payment adjustment notices and detailed audits.
  • Fully proficient in all key areas; performs most complex work.

  • Requires H. S. diploma or GED and a minimum of 3 years relevant membership experience which includes a minimum of 2 years of membership experience with the company; or any combination of education and experience which would provide an equivalent background.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Anthem, Inc.

has been named as a Fortune 100 Best Companies to Work For, is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes.

To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.

Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

calendar_today 2 days ago

location_on Miami, United States

work Anthem, Inc.

I expressly authorise the Terms and Conditions

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