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Membership Administrator
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- The Membership Administrator I establishes and maintains eligibility, bills premium, reconciles cash, pursues aged accounts and provides eligibility and billing related customer service for Individual, Group, Government Programs, Cobra and Flexible Spending business.
- Calculate appropriate waiting-period credit, eligibility data, effective date, and enter benefits, bank draft identification information, name, social security number, address, family members and primary care physician information with network coding, which is consistent with the employer/individual contract.
- Order member cards and audit these against the member applications for accuracy, correct corporate logos, lines of business co-pay, PCP, and any member card comments.
- Ensure cash is processed through daily reconciliation to achieve established cash turnaround standards.
- Comply with MTM, Consortium or Governmental quality, timeliness and other standards as they relate to membership activities and responses to inquiries to meet BlueCross and BlueShield Association or CMS standards and corporate goals.
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