Health Operations Associate

About the job

Key responsibilities

1. Manage premium billing activities as part of the enrollment and billing process for member health plans.

1. Calculate premium amounts and verify billing accuracy for Medicare member accounts.

1. Identify and resolve discrepancies in billing amounts, outstanding balances, and payment mismatches.

1. Post correct premium amounts into client portals and billing systems.

1. Maintain accurate billing records and ensure timely invoice generation and updates.

1. Track and reconcile payments to ensure financial accuracy in billing operations.

1. Support resolution of billing issues by following standard procedures and client guidelines.

1. Ensure compliance with financial policies and billing regulations during all transactions.

1. Collaborate with internal teams to ensure smooth enrollment and billing operations.

1. Review member plan details and ensure correct premium calculations are applied.

1. Handle routine billing queries and provide accurate resolution within defined timelines.

1. Maintain documentation of billing transactions and reconciliation activities.

1. Ensure timely and accurate processing of Medicare premium billing activities.

1. Support continuous improvement of billing accuracy and operational efficiency.

Skill(s) required

Attention to Detail Client Interaction Data entry Document Management Invoice Processing Problem Solving