Premium Billing (Cobra) Specialist

Job Description

Job Description

Job Title: Premium Billing Specialist

Reports To: Premium Billing Manager

Work Environment: Business Office / Remote
Travel: None Required

Job Summary:

The primary responsibility of the Premium Billing Specialist for Consolidated Admin Services is to represent Consolidated Admin Services in communications and interactions with clients and participants, in-person, over the phone, and in writing. The Premium Billing Specialist supports Consolidated Admin Services with various account customer service activities, administrative functions, and special projects. The Premium Billing Specialist is an integral part of Consolidated Admin Services providing superior service to our clients and participants.

Duties/Responsibilities:

To perform this job successfully, the individual must be able to perform each essential function of the job satisfactorily. This includes but is not limited to the following:

• Represents CAS in a friendly and professional manner in-person, over the phone, and in writing
• Handles escalated COBRA participant, employer, and agent concerns
• Reads all documentation clearly and precisely for processing
• Makes appropriate notations within COBRAPoint and Salesforce
• Escalates any clerical errors to the Team Lead for review and correction
• Sends COBRA elections and terminations to appropriate contacts
• Coordinates with agents and carriers to expedite reinstatements as needed
• Updates the CRM with new COBRA notification contacts and process notes
• Answers participant calls
• Sets up and sends employee portal credentials
• Preforms monthly COBRA Open Enrollment audits for assigned clients
• Moves members from plan to plan to correct accounts after the Open Enrollment periods end
• Make plans inactive in COBRA Point
• Processes SPMs
• Processes participants for LOA billing
• Recognizes remittance structures
• Learns client specific details and how to follow custom processes for SPMs and LOA billing
• Enter COBRA Rates and Plans as needed
• Understands which actions in COBRA Point will re-queue SRLs

Minimum Requirements:

• High School Diploma or equivalent, Bachelor’s degree preferred
• One year of Customer Service experience
• Proficient experience with spreadsheets and/or bookkeeping software, data entry, word processing, e-mail management, and file management
• Excellent communication skills
• Excellent attention to detail skills
• Presents a professional image
• Ability to build rapport and collaborate with others

Knowledge, Skills, and Abilities:

To perform this job successfully, the individual must demonstrate the knowledge, skills and abilities required to perform the job. This includes but is not limited to the following:

• Proficient experience with spreadsheets and/or bookkeeping software, data entry, word processing, e-mail management, and file management
• Excellent interpersonal skills, ability to relate to a wide range of people, collaborates well with others
• Excellent communication skills to include:
  • actively pays attention to, and participates in, communication with others
  • adapts communication style to audience
  • friendly
  • confident
  • gives and receives feedback
  • volume and clarity
  • empathetic
  • respectful
  • responsive
• Displays initiative, a desire to learn and develop, a willingness to help others
• Generates ideas, solves problems as they arise
• Excellent attention to detail skills to include:
  • organizational skills
  • time management skills
  • analytical skills
  • observational skills
• High level of efficiency, accuracy, and responsibility
• Handles and protects confidential and sensitive information with utmost importance
• Excellent understanding of customer care and services
• Prioritizes and manages different tasks at once
• Works effectively to meet deadlines
• Thrives in pressured or stressful situations
• Committed and flexible attitude, adaptable
• Mathematical and deductive reasoning
• Critical thinking
• Sense of rigor, able to deal with something in a comprehensive, thorough, and complete way
• Presents a professional image
• Must be flexible with work schedule to support cyclical work demand

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.