Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
The Senior Coordinator supports accurate, timely, and compliant processing of member premium billing across PBM Financial Operations. The role covers autopay enrollment, payment posting and exceptions, member inquiries, statements, payment plans, refunds, and past-due and disenrollment activity.
Key Responsibilities
- Manage member premium support, including enrolling members in automatic payments, researching and resolving member inquiries, and processing member statement and invoice requests.
- Resolve payment exceptions, perform quality reviews of vendor-processed payments, and help reconcile SSA and RRB premium withholding.
- Support the dunning and disenrollment cycle for failure to pay premiums, review and process reinstatement requests, and support the weekly refund process.
- Contribute to daily and monthly operational metrics, identify trends and recurring issues, and recommend process improvements.
Required Qualifications
- 1 or more years of professional experience in finance, accounting, billing operations, or a related field
Preferred Qualifications
- Proficiency in Microsoft 365, including Excel, Word, Outlook, PowerPoint, Teams, and SharePoint
- Hands-on experience with Microsoft 365 Copilot and generative AI
- Experience analyzing large data sets to identify trends, errors, or root causes
- Experience automating manual processes or implementing a process improvement with a measurable result
- Familiarity with SAP, Salesforce, Compass, or FACETS (Cognizant)
- Background in accounts receivable, payment posting, billing, or reconciliation
Education
- High School Diploma or GED required
- Bachelor's degree in Finance, Accounting, Information Technology, or a related field preferred
Anticipated Weekly Hours
- 40
Time Type
- Full time
Pay Range
- $18.50 - $35.29