Membership Representative I

2 weeks ago


Norfolk, United States Elevance Health Full time

Title: Membership Representative ILocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Membership Representative I will be responsible for enrollment, billing activities and/or maintaining assigned accounts. Pre-employment test battery may be required.How you will make an impact: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 and/or concerns received by phone or mail.May be responsible for 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.May order 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.Screens all forms and data for all paperwork received from Sales and/or Underwriting for new group and/or group re-classing benefits.Makes request to Underwriting, Sales or Brokers for missing information and/or forms needed for new group or re-class of existing group.May be responsible for loading rates to 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 appropriate.Thoroughly documents inquiry outcomes for accurate tracking and analysis.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 timely manner.Performs basic job functions with help from co-workers, specialists and managers on non-basic issues.Minimum RequirementsHS diploma or GED and related experience; or any combination of education and experience which would provide an equivalent background.For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

by Jobble



  • Norfolk, United States Elevance Health Full time

    Title: Membership Representative ILocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Membership Representative I will be responsible for enrollment, billing activities and/or maintaining assigned accounts. Pre-employment test battery may be required.How you...


  • Norfolk, United States YMCA of South Hampton Roads Full time

    The Y is a dynamic and diverse human service organization committed to nurturing the potential of kids, promoting healthy living and fostering a sense of social responsibility. MEMBERSHIP EXPERIENCE LEADER Imagine going to work knowing that what you do each day positively influences the lives of children in your community. Working at the YMCA you'll...


  • Norfolk, United States Elevance Health Full time

    Title: Health Program Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Health Program Representative I will be responsible for providing initial contact between distinct Care Management programs and specific identified members. Under...


  • Norfolk, Virginia, United States tapwage Full time

    Anticipated End Date:Position Title:Customer Care Representative I, Call CenterJob Description:Customer Care Representative I, Call CenterLocations: Norfolk VA, St. Louis MO, Mason OH This is a hybrid position but onsite training will be required based on your location.Work schedule will be Monday - Wednesday and Friday from 9:30 am - 7 pm EST and Saturday...


  • Norfolk, Virginia, United States tapwage Full time

    Anticipated End Date:Position Title:Customer Care Representative I, Call CenterJob Description:Customer Care Representative I, Call CenterLocations: Norfolk VA, St. Louis MO, Mason OH This is a hybrid position but onsite training will be required based on your location.Work schedule will be Monday - Wednesday and Friday from 9:30 am - 7 pm EST and Saturday...


  • Norfolk, United States Midtown Health Center Full time

    Job Summary:The Customer Service Representative - Greeter is the first point of contact for patients and the community. This position is responsible for general receptionist duties, completing financial assessments, and preparation of patient charts.Supervisory Responsibilities:None. Duties/Responsibilities:Customer Service Representative I -...


  • Norfolk, United States Sentara Healthcare Full time

    Primarily responsible for handling incoming calls to effectively address eligibility, claim, and payment issues. May be required to provide off-phone assistance to customers and department leadership. Ability to work in a fast-paced environment to as Representative, Healthcare, Customer Service, Retail, Customer


  • Norfolk, United States Midtown Health Center Inc Full time

    Job DescriptionJob DescriptionJob Summary:The Customer Service Representative - Greeter is the first point of contact for patients and the community. This position is responsible for general receptionist duties, completing financial assessments, and preparation of patient charts. Supervisory Responsibilities:None. Duties/Responsibilities:Customer Service...

  • Ecob Specialist I

    2 weeks ago


    Norfolk, United States Elevance Health Full time

    Job Family: CLM > Claims Support Type: Full time Date Posted: Jun 14, 2024 Anticipated End Date: Jul 05, 2024 Reference: JR119654 Description **eCOB Specialist I** **Location**: Hybrid, within 50 miles of an Elevance Health pulse point. **Hours**:Monday - Friday, an 8 hour shift between 6 am - 6 pm The **eCOB Specialist I **is responsible for...


  • Norfolk, United States Elevance Health, Inc. Full time

    Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. Analyzes problems and provides information/solutions. Operates a PC/image station Customer Care, Representative, Customer, Benefits, Retail, Healthcare, Compensation


  • Norfolk, United States Midtown Health Center Full time

    Midtown Health Center, a Federally Qualified Health Center serving Northeast Nebraska with a focus on improving access to complete care for the whole family, is looking for a Customer Service Representative to help us fulfill our mission! Clinic hours of operation are Monday through Friday, 7am to 6pm. No nights or weekends. Midtown Health Center offers a...


  • Norfolk, United States Midtown Health Center Full time

    Midtown Health Center, a Federally Qualified Health Center serving Northeast Nebraska with a focus on improving access to complete care for the whole family, is looking for a Customer Service Representative to help us fulfill our mission! Clinic hours of operation are Monday through Friday, 7am to 6pm. No nights or weekends. Midtown Health Center offers a...


  • Norfolk, United States Midtown Health Center Inc Full time

    Job DescriptionJob DescriptionMidtown Health Center, a Federally Qualified Health Center serving Northeast Nebraska with a focus on improving access to complete care for the whole family, is looking for a Customer Service Representative to help us fulfill our mission!Clinic hours of operation are Monday through Friday, 7am to 6pm. No nights or weekends....


  • Norfolk, United States Midtown Health Center Inc Full time

    Job DescriptionJob DescriptionMidtown Health Center, a Federally Qualified Health Center serving Northeast Nebraska with a focus on improving access to complete care for the whole family, is looking for a Customer Service Representative to help us fulfill our mission!Clinic hours of operation are Monday through Friday, 7am to 6pm. No nights or weekends....


  • Norfolk, United States Midtown Health Center Inc Full time

    Job DescriptionJob DescriptionMidtown Health Center, a Federally Qualified Health Center serving Northeast Nebraska with a focus on improving access to complete care for the whole family, is looking for a Customer Service Representative to help us fulfill our mission!Clinic hours of operation are Monday through Friday, 7am to 6pm. No nights or weekends....

  • eCOB Specialist I

    6 days ago


    Norfolk, Virginia, United States Elevance Health Full time

    Anticipated End Date: Position Title: eCOB Specialist I Job Description: eCOB Specialist I Location: Hybrid, within 50 miles of an Elevance Health pulse point. Hours: Monday - Friday, an 8 hour shift between 6 am - 6 pm The eCOB Specialist I is responsible for researching and investigating other coverage for all of the company's groups and members. Performs...


  • Norfolk, United States Hampton Roads Transit Full time

    **Salary: $31,200** Answer inquiries and obtain information for general public, customers, visitors, and other interested parties. Provide information regarding activities conducted at establishment; location of departments, offices and employees within organization. **Essential Job Functions**: (Duties listed are not intended to be all inclusive nor to...


  • Norfolk, United States Waste Connections Full time

    Bay Disposal has an immediate opening for a Collections Representative based inNorfolk, VA. In this position you will be responsible for reaching out to our delinquent accounts via phone calls and emails, taking customer payments over the phone, setting up payment arrangements, and working to resolve problems that arise concerning service or billing. This is...


  • Norfolk, United States PSI Virginia Beach Full time

    Job DescriptionJob DescriptionA thriving Customer Service and Sales firm, Prolific Solutions is a dynamic team that serves the Virginia Beach community with the best service options in the region. We are a regional team of innovators, inspired entrepreneurs, and goal achievers. Our mission statement holds to the leadership team we have in place. We need our...


  • Norfolk, United States PSI Virginia Beach Full time

    Job DescriptionJob DescriptionA thriving Customer Service and Sales firm, Prolific Solutions is a dynamic team that serves the Virginia Beach community with the best service options in the region. We are a regional team of innovators, inspired entrepreneurs, and goal achievers. Our mission statement holds to the leadership team we have in place. We need our...