This role focuses on managing complex enrollment and billing activities within a commercial insurance environment using Facets membership capabilities ensuring accurate member data timely billing cycles and high operational reliability. The skilled will work from office in a night shift model driving quality outcomes process improvements and consistent service for clients and members while collaborating closely with cross functional partners.
Responsibilities
Manage end to end enrollment and billing operations in a commercial insurance environment ensuring accurate member creation maintenance and termination activities aligned with client policies and regulatory standards.
Coordinate daily Facets membership processing tasks including new enrollments updates reinstatements and coverage changes to maintain reliable eligibility records and downstream billing accuracy.
Monitor billing cycles premium calculations and invoice generation activities to identify discrepancies early and drive timely resolution thereby supporting predictable revenue recognition for the organization.
Analyze complex enrollment and billing issues in Facets membership and commercial insurance enrollments diagnose root causes and recommend practical remediation steps that prevent recurrence and support operational stability.
Collaborate with operations finance and configuration teams to clarify benefit structures group setups and product rules so that enrollment data and billing outputs remain aligned with contractual commitments and client expectations.
Develop and update standard operating procedures for enrollment and billing processes ensuring documentation reflects current commercial insurance practices Facets membership configurations and control checkpoints.
Perform regular quality checks and reconciliation of member records billing files and payment postings to detect gaps between source data and system outputs driving corrective actions that protect data integrity and
📌 TL-Enrollment & Billing (India)
🏢 Cognizant
📍 India
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