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Membership and Enrollment Specialist 2 - Health Plan

Job

St. Luke's Health System

Boise, ID (In Person)

Full-Time

Posted 2 weeks ago (Updated 18 hours ago) • Actively hiring

Expires 8/6/2026

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Job Description

At St. Luke's Health Plan, we're on a mission to connect people with affordable, hassle-free health care. We are the only health plan in Idaho putting doctors and insurance on the same team to deliver a more efficient and quality health care experience with less stress. Join us in this bold ambitious journey. We'd love to hear from you!
What You Can Expect:
Monday-Friday schedule Hours are 8-5 Full Benefits with hospital contributions Performs enrollment, premium billing, and accounts receivable activities for Medicare Advantage and/or Part D members, handling both routine and moderately complex transactions with a high degree of accuracy Applies working knowledge of CMS enrollment regulations, eligibility rules, and premium billing requirements to ensure compliant administration of health plan products Investigates and resolves enrollment and billing issues of moderate complexity, such as payment discrepancies, retroactive adjustments, and enrollment errors, escalating highly complex issues as needed Provide responsive and professional services and support to accounts and business partners.
Qualifications:
Education:
High School Diploma or GED Experience:
1 year of relevant experience