PE-Enrollment & Billing

About the Role

This entry-level PE Enrollment and Billing role involves accurately maintaining payer member enrollment and billing records while ensuring compliance with HIPAA guidelines and adhering to night shift schedules.

The role requires strong MS Office skills and a solid understanding of payer domain concepts, including member enrollment, coverage eligibility, premium billing, and basic benefits terminology.

As a PE Enrollment and Billing professional, you will support night shift operations to ensure timely processing, data quality, and compliant communication that enables reliable healthcare coverage and a smooth experience for members and payer partners.

Key Responsibilities

• Process enrollment requests with careful review of member data to ensure accuracy, completeness, and timely updates in payer systems.
• Update billing records using MS Office tools to reconcile premiums, adjustments, and corrections to ensure member accounts remain current and reflect correct financial information for payer reporting.
• Maintain enrollment and billing logs in spreadsheets with consistent data entry practices that enable clear traceability, efficient audits, and effective handover to other teams.
• Verify member eligibility and coverage details against payer rules and documentation to ensure downstream claims and benefits administration processes remain reliable and efficient.
• Respond to internal inquiries about enrollment status and billing discrepancies in a structured and courteous manner that promotes clear understanding and quick resolution.
• Apply HIPAA guidelines in every interaction and documentation activity to protect member privacy and ensure compliance with regulatory expectations.

Skills & Qualifications

• Foundational knowledge of payer domain concepts, including member enrollment, coverage eligibility, premium billing, and basic benefits terminology.
• Working proficiency in MS Office applications, particularly spreadsheets and documents used to manage lists, perform simple calculations, and prepare operational reports.
• Understanding of the core principles of HIPAA compliance and privacy.
• Ability to learn payer-specific systems and tools quickly and adapt to night shift routines without compromising accuracy.
• Bachelor's degree in a relevant field, such as business administration, healthcare administration, or a related field.

What You'll Learn

In this role, you will gain hands-on experience in maintaining payer member enrollment and billing records, ensuring compliance with HIPAA guidelines, and adapting to evolving payer rules and internal policies.

You will also develop strong MS Office skills, particularly in spreadsheets and documents, and learn to prioritize tasks based on cutoffs, aging, and risk to ensure critical enrollment and billing actions are completed within defined service levels.

Additionally, you will learn to collaborate with payer operations teams, identify recurring enrollment or billing issues, and suggest process improvements to reduce errors and rework.

Resume Tip

When applying for this role, be sure to highlight your experience with MS Office applications, particularly spreadsheets and documents, and your understanding of payer domain concepts and HIPAA guidelines.

Use specific examples to demonstrate your ability to learn payer-specific systems and tools quickly and adapt to night shift routines without compromising accuracy.

Also, be sure to emphasize your strong attention to detail, time management, and communication skills, which are essential for reliable execution of enrollment and billing tasks in a hybrid work model.