Billing Specialist at Verisk overseeing invoicing processes and customer interactions. Collaborating across departments to ensure accurate billing and compliance in a hybrid working environment.
About the role
- Premium Billing Specialist providing customer support for insurance billing inquiries through phone and live chat. Handling payments and ensuring compliance standards in a health insurance environment.
Responsibilities
- Provide exceptional customer support to Select Health Individual members through inbound calls and live chat.
- Coordinates with employer group representatives to reconcile basic account adjustments and facilitate accurate payment processing.
- Respond to inquiries and provide clear guidance on billing, enrollment, and account-related processes.
- Partner with internal departments to troubleshoot and resolve billing and enrollment concerns.
- Process member payments in accordance with established financial controls and compliance protocols.
- Assist members and agents in navigating enrollment platforms and accessing documentation while ensuring data privacy and regulatory compliance.
- Maintain accurate and detailed records of customer interactions and account updates.
- Evaluates member accounts to determine reinstatement eligibility and calculates outstanding payment requirements in alignment with billing policies and plan guidelines.
- Reviews and validates peer-submitted reinstatement requests to ensure accuracy, completeness, and alignment with established billing and enrollment standards.
- Adhere to internal policies and state/federal regulatory requirements.
Requirements
- Proven experience in a customer-facing role, preferably in healthcare or insurance.
- Strong proficiency in CRM systems and data entry, with attention to detail.
- Excellent communication and interpersonal skills across multiple channels.
- Demonstrated ability to multi-task, prioritize, and manage time in a fast-paced environment.
- Effective problem-solving skills and ability to remain calm under pressure.
- Background in healthcare finance or enrollment operations, including AP/AR, eligibility verification, or payroll preferred.
- Experience with process optimization and negotiation preferred.
Benefits
- Generous benefits package covering wellness programs
- Paid time off during the busiest time of the year.
- Up-front tuition coverage for education goals and career aspirations.
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