Elevance Health
Healthcare
MembershipRepresentativell
Neural analysis suggests this role is
optimal for Entry candidates.
“Membership Representative ll at Elevance Health. Skills: Customer service, Enrollment, Billing. Respond to incoming calls. Initiate outgoing calls”
Industry & Context.
Problem-solver; Critical thinker
Ability to multi-task, Maintain focus during extended periods of sitting, Handle multiple tasks in a fast-paced, high-pressure environment, Virtual and in-person interactions, Ability to work from the office as necessary, COVID-19 vaccination, Influenza vaccination
What They're Looking For.
Must Have
1 year relevant healthcare customer servicing experience, 1 year membership experience
What You'll Do.
Respond to incoming calls
Initiate outgoing calls
Provide customer service
Answer benefit questions
Verify enrollment status
Make changes to records
Research enrollment system
Resolve enrollment questions
Handle billing processes
Handle delinquency processes
Ensure accuracy and timeliness
Maintain enrollment database
Order identification cards
Determine eligibility
Apply contract language
Perform error output resolution
Process error discrepancy lists
Maintain premium bill
Reconcile premium bill
Reconcile individual billed accounts
Notify clients of discrepancies
Screen forms and data
Make requests for missing information
Load rates for new groups
Screen group for benefits
Document inquiry outcomes
Develop positive customer relations
Coordinate with various functions
Handle multiple tasks
How You'll Work.
Team & Collaboration
Coordinate with various functions within the company
Communication Scope
Verbal communication skills; Written communication skills
Full Job Description
**Anticipated End Date:** 2026-05-25 **Position Title:** Membership Representative ll **Job Description:** **Membership Representative II** **Location:** This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ **Schedule:** This position will work an 8-hour shift from 8:00 am - 5:00 pm, Monday through Friday. Additional hours, including weekends or holidays, may be required based on operational needs. _AmeriBen is a proud member of the Elevance Health family of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical management, human resource consulting and retirement benefits administration services._ The **Membership Representative II** is responsible for enrollment, billing activities and/or maintaining assigned accounts. Must be able to successfully perform all the duties of the Membership Rep I. **How you will make an impact:** Primary duties may include, but are not limited to: * Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers. * Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions and/or concerns received by phone or mail. * May be responsible for billing and delinquency processes for assigned groups. * Ensur
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