Membership Eligibility Processor I

Membership Eligibility Processor I

Lewiston, ID or Portland, OR

The Membership Eligibility Processor I Establishes and maintains accurate subscriber and member level eligibility through processing of new applications, member additions and deletions, policy revisions, demographic changes, renewal changes and any other maintenance affecting eligibility.

Responsibilities & Requirements:

• High school diploma or GED
  
• Strong typing and 10-key by touch
• Six months data entry experience with demonstrated ability to meet or exceed accuracy and production standards
• Customer Service experience preferred
• Must be detail-oriented and self-motivated
• Strong communication skills and attention to detail
• Must be dependable and maintain attendance at or above departmental standards
• Must be able to exercise judgment, initiative and discretion in confidential, mature and sensitive manner
• Must be able to establish effective working relationships with staff and customers
• Ability to understand mathematical calculations and concepts
• Ability to organize and prioritize work
• PC experience required; experience with Word, Excel and Lotus notes or similar software
• Medical Terminology preferred for Washington State Health Insurance Plan (WSHIP) health questionnaire processors

About Us:
Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.

Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We’ve been here for members more than 90 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association.

If you’re seeking a career that affects change in the health care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers’ engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia’s portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.