Responsible for reconciling premiums for members enrolled in the Healthcare Marketplace as part of the Affordable Care Act (ACA).
Requirements
- Process daily enrollee's invoices and premium reconciliation for Marketplace members.
- Guide and support Member Service representatives to resolve member inquiries related to healthcare premium.
- Assist in resolution for escalated premium issues with Appeals and Grievances team members.
- Generate billing data using the QNXT premium billing module to be sent to print and fulfillment vendor.
- Reconcile unallocated payments on a daily basis.
- Resolve orphan member payments on a daily basis.
- Reconcile monies received from the financial institution.
- Perform month-end invoicing and accuracy audits.
Benefits
- Competitive benefits and compensation package
