Anthem Membership Rep II or III | Miami, FL | Bilingual (Spanish) Required in Miami, Florida

/ 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 benefits companies and a Fortune Top 50 Company.

Level will be determined by skills and experience of selected candidates.

  • Responsible for enrollment, billing activities and maintaining assigned accounts. Must be able to successfully perform all the duties of the Membership Rep II.

  • You will be making on average 40-60 out bound calls daily to new members.

  • 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.

Level II

  • Requires H. S. graduate or GED

  • Must be bilingual (Spanish)

  • Must have 1 years of customer service experience

  • Healthcare experience preferred

Level III

  • Requires H. S. graduate or GED

  • Must be bilingual (Spanish)

  • Must have 3 years of customer service experience

  • Healthcare experience preferred

Job Membership & Enrollment

Title: Membership Rep II or III | Miami, FL | Bilingual (Spanish) Required

Location: FL-Miami

Requisition ID: 130206