Job Summary
This hybrid entry level PE Enrollment and Billing role focuses on accurately maintaining payer member enrollment and billing records while applying strong MS Office skills and solid understanding of HIPAA guidelines. The role supports 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.
Responsibilities
Process enrollment requests with careful review of member data to ensure accuracy completeness and timely updates in payer systems while adhering to standard operating procedures and night shift schedules.Update billing records using MS Office tools to reconcile premiums adjustments and corrections so that 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 so that 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 so that member privacy is protected and all information handling remains compliant with regulatory expectations.Review nightly work queues and prioritize tasks based on cutoffs aging and risk to ensure that critical enrollment and billing actions are completed within defined service levels.Collaborate with payer operations teams through written updates and scheduled connects to clarify complex cases resolve data conflicts and keep shared records aligned.Identify recurring enrollment or billing issues in daily work record observations in tracking sheets and suggest process improvements that can reduce errors and rework.Use MS Office based templates and checklists to standardize documentation minimize manual mistakes and support accurate reporting for operational stakeholders.Support simple data quality checks on enrollment and billing files by running pre defined validations that prevent incorrect data from entering core payer systems.Escalate non standard or high impact issues to senior team members with structured summaries and evidence so that resolution decisions can be made quickly and effectively.Adapt to evolving payer rules benefit designs and internal policies by participating in refresher sessions and applying updated knowledge consistently in daily tasks.
Qualifications
Possess foundational knowledge of payer domain concepts such as member enrollment coverage eligibility premium billing and basic benefits terminology applied in a practical context.Demonstrate working proficiency in MS Office applications with particular focus on spreadsheets and documents used to manage lists perform simple calculations and prepare operational reports.Understand the core principles of HIPAA compliance and privacy so that member information is handled with discretion secured appropriately and shared only for valid operational needs.Show ability to learn payer specific systems and tools quickly follow documented procedures consistently and adapt to night shift routines without compromising accuracy.Exhibit strong attention to detail time management and communication skills that support reliable execution of enrollment and billing tasks in a hybrid work model.
What we offer
- The chance to work with impact. Here, you’re empowered to bring your biggest thinking to help our company and clients improve everyday life.
- Ownership over your career. Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit.
- The opportunity to thrive on a high caliber team with heart. We celebrate each other’s experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives.
- A comprehensive total rewards package, including a competitive salary and a pension plan with matching contributions.
- Flexible health and financial benefits to support you and your eligible dependents—from day one.
- True work-life balance. Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more.
About us
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.
Other employment-related information
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.
Language requirements vary depending on roles, but we ask that all candidates have basic English proficiency for company-wide communications purposes. For roles based in Quebec, professional English proficiency is required, as you’ll deliver services to and collaborate with stakeholders outside the province who may not speak French.
