Membership Representative II
Company: Anthem, Inc
Posted on: January 17, 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.
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 and 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
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. The
health of our associates and communities is a top priority for
Anthem. This roles requires vaccination against Covid-19. If you
are not vaccinated, your offer will be rescinded unless you provide
- and Anthem approves - a valid religious or medical explanation as
to why you are not able to get vaccinated that Anthem is able to
reasonably accommodate. Anthem will also follow all relevant
federal, state and local laws.
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. Anthem
is an Equal Employment Opportunity employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, age, national origin, protected
veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any
other characteristic protected by law. Applicants who require
accommodation to participate in the job application process may
contact firstname.lastname@example.org for assistance.
Keywords: Anthem, Inc, Indianapolis , Membership Representative II, Other , Indianapolis, Indiana
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