Membership Representative I/II/III
Company: Anthem, Inc
Posted on: January 10, 2022
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., 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
care companies and a Fortune Top 50 Company.
The Membership Representative I/II/III is responsible for
enrollment, billing activities and/or maintaining assigned
accounts. Must be able to successfully perform all the duties of
the Membership Rep I.
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
+ Verifies enrollment status, makes changes to records, researches
and resolves enrollment system rejections; addresses a variety of
enrollment questions and/or concerns received by phone or mail.
+ May be responsible for billing and delinquency processes for
+ Ensures accuracy and timeliness of the membership and billing
+ Responds to inquiries concerning enrollment processes.
+ Maintains enrollment database.
+ May order identification cards.
+ Determines eligibility and applies contract language for each
+ Performs error output resolution for electronic eligibility and
processes error discrepancy lists.
+ Maintains and reconciles premium bill, self-bill and individual
+ Notifies clients of premium discrepancies through payment
adjustment notices and detailed audits.
+ Screens all forms and data for all paperwork received from Sales
and/or Underwriting for new group and/or group re-classing
+ Makes request to Underwriting, Sales or Brokers for missing
information and/or forms needed for new group or re-class of
+ May be responsible for loading rates for new groups and
renewal/re-class groups within the appropriate system.
+ Screens group for benefits to determine if existing or new,
recognizing when benefits are not standard and handling as
+ Thoroughly documents inquiry outcomes for accurate tracking and
+ Develops and maintains positive customer relations and
coordinates with various functions within the company to ensure
customer requests and questions are handled appropriately and in a
+ Requires H.S. diploma or GED.
+ A minimum of 1 year relevant healthcare customer servicing
experience which includes a minimum of 1 year 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 careers.antheminc.com. 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
Keywords: Anthem, Inc, Glendale , Membership Representative I/II/III, Other , Glendale, Arizona
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