Job Summary:

Reports to the MAS Supervisor and assists with basic training, problem resolution, workflow optimization, and process improvement. Provides customer service to internal and external clients regarding eligibility and premium accounts receivables. Seeks guidance from senior staff and handles issues in day-to-day Membership Accounting and Enrollment operations, including account reconciliation, auditing, and collections. Submits requests for group billing adjustments (e.g., write-offs, offsets, delinquent small group terminations) following department policies, procedures, and contracts. Assists in developing and achieving team goals and performance metrics.

Essential Duties and Responsibilities:

1. Process enrollment transactions, including receiving, logging, screening, verifying, and coding data for input into the enrollment system(s) based on department policies and group/individual policy contracts.
2. Handle premium A/R requests per established department guidelines.
3. Collect group premiums, address receivables, and issue collection notices, maintaining accounts within required time frames.
4. Educate members and employers on plan guidelines, eligibility updates, and the premium collection process.
5. Conduct aging analysis, review revenue/eligibility reports, and resolve receivable balances through collection efforts or revenue adjustments.
6. Resolve day-to-day issues in Membership Accounting and Enrollment operations, including member/dollar-level account reconciliation, auditing, and billing adjustments.
7. Perform data entry of approved enrollment requests and premium payments when needed.
8. Support the department in meeting or exceeding performance metric targets and goals.
9. Assist the department supervisor with new priorities and opportunities from managing partners.
10. Conduct MAS audit functions.
11. Complete special projects as assigned in a timely manner.
12. Perform other duties as assigned.

Education and Experience:

1. Associate degree or equivalent two-year course, or a minimum of three years' experience in customer service resolving eligibility and premium accounts receivable issues.
2. Flexibility to work evenings and weekends.
3. Effective team player with strong interpersonal skills.
4. Ability to address complex situations with maturity, diplomacy, and tact, especially when dealing with irate customers.
5. Excellent oral and written communication skills.
6. High level of personal and professional integrity with strong ethics.
7. Basic knowledge of federal and state healthcare laws and regulations.
8. Proficient in MS Office programs and general computer literacy.