Premium Billing Specialist

Job Description:

Schedule

• Full time, in office
• Monday-Friday 8:30am-5:00pm PST, with rotating Saturday shift: 8:00am-2:00pm PST (will work 1-2x Saturdays a month, depending on coverage)
• Training period:
  • Two weeks paid training
  • Training hours: Monday-Friday 8:00am-4:30pm PST

• Busiest time of the year- Open Enrollment (mid-December through end of February). During this time each year, we have blackout dates for PTO and some mandatory OT (up to 1-2 hours, depending on business needs).
• The Premium Billing Specialist position is responsible for providing superior customer service primarily over the phone by assisting members with their insurance premiums and researching or resolving any discrepancies with their billing.

Essential Functions

• 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.
• Consistently meet or exceed performance metrics including productivity, accuracy, and customer satisfaction.

Skills

• Professional Phone Communication
• Health Plan Eligibility Knowledge
• Secure Payment Processing
• Accounts Receivable
• Written and Verbal Communication
• Customer Experience Excellence
• Data Privacy and Confidentiality
• Documentation and Recordkeeping
• Digital Literacy and System Navigation
• Typing Speed and Accuracy
• Proficiency in Microsoft Office Suite (Excel, Outlook, Teams)
• Stress Management and Resilience
• Task Prioritization
• Active Listening Techniques
• Time and Workflow Management

Qualifications

Minimum Qualifications

• 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.

Preferred Qualifications

• Background in healthcare finance or enrollment operations, including AP/AR, eligibility verification, or payroll.
• Experience with process optimization and negotiation.
• Strong organizational and analytical skills, including data collection and reporting.

Physical Requirements

• Ability to read and interpret digital and printed materials, assess customer needs, and identify relevant tools and resources.
• Frequent verbal communication with team members and customers, requiring clear speech and active listening.
• Manual dexterity for computer use and equipment handling, including typing and navigating software platforms.

Location:

Work City:

Work State:

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.