Membership Representative III - WAH NY State - 4/8 - 62427
WellPoint - Albany, NY

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WellPoint is one of the nation's leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers.
Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

The Membership Representative III:
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. WellPoint is one of the nation's leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers.
Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

The Membership Representative III:
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.

About this company
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We recently changed our name from WellPoint to Anthem, Inc., the name people know us by best. As our companies continue to take a more...