Member Billing Senior Coordinator, Financial Operations
Core
Process member premium billing, autopay enrollment, payment posting, and exceptions for PBM Financial Operations while ensuring CMS compliance.
Role type
Senior IC billing operations coordinator
Builds
Accurate member billing records and compliant payment cycles
Domain
Health insurance / PBM financial operations
Required skills
Finance or accounting background, payment posting, reconciliation, dunning cycle management, refund processing, data validation, process improvement, stakeholder communication
Preferred skills
Microsoft 365 Copilot and generative AI proficiency, SAP/Salesforce experience, large dataset analysis, automation implementation
Technologies
Microsoft 365, Excel, SAP, Salesforce, Compass, FACETS
Responsibilities
Enroll members in autopay (SSA, RRB, EFT, RCD), resolve payment exceptions and disputes, process refunds and reinstatements, perform quality reviews of vendor payments, contribute to operational metrics and process improvements
Seniority
Senior, hands-on IC