COBRA Billing & Premium Specialist
Department:
Group Insurance
Status:
Full-time (Hybrid)
Pay Range:
$18 - $24/hour
Scope/Impact
Under limited supervision, the COBRA and Premium Billing Specialist performs all phases of billing services and compliance administration in accordance with government regulations, company and departmental procedures and standards. This position will provide quality customer service interactions with clients, sales associates, brokers, and continuants/retirees.
These duties must be performed in a timely manner consistent with our established performance standards and client specific performance guarantees as required.
Key Responsibilities
- Coordinates and administers assigned case load pursuant to service level agreements and compliance requirements.
- Communicate with clients, brokers, insurance carriers, TPAs and other vendors via phone and email to resolve and troubleshoot participant issues and provide clarification in accordance with department standards (within 1 business day).
- Maintain, process and update participant’s accounts including benefit change and payment allocations within P&A’s software.
- Ensure participant changes, enrollments, and cancelations are processed timely and accurately with the insurance carriers/clients.
- Coordinate plan open enrollment tasks to ensure software parameters are set in accordance with the client’s pertinent benefit and carrier information.
- Perform open enrollment tasks including updating rates, benefits, carrier information, and invoicing participants.
- Assist and support Participant Support Center and data team with plan questions and escalated issues.
- Exercise independent judgement on a limited basis related to billing and eligibility taking into consideration P&A procedures and policies, carrier policies, government regulations, and client guidelines.
- Additional responsibilities may include training, new case implementation, and providing direction and assigning tasks to others as appropriate.
- Keeps the Group Insurance Supervisor fully informed on all problems or unusual matters of significance and escalates when necessary.
Other Functions
- Champion P&A’s Values and Policies.
- Maintain data protection, privacy, security and maintain HIPAA compliance for participants and clients.
- Completes any additional assignments as requested by the executive/management team members.
- Provides back up to peers as required.
- Assists with documenting processes and procedures.
- Ad-Hoc reporting, analysis and presentations as required.
- Other duties as assigned.