Moda Health Supervisor Membership Accounting--Medicare in Portland, Oregon

Supervisor Membership Accounting--Medicare

Job Title

Supervisor Membership Accounting--Medicare


Open until filled





Other Location


Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Currently, we are seeking a Supervisor for Membership Accounting department, specialize in Medicare. The position will manage the day-to-day operational activities of the Medicare Membership Accounting Department covering a wide range of responsibilities to ensure retention of existing groups and improve efficiency of all administrative services; core management responsibilities include: processing of member billing and eligibility, IS development, and ongoing communication with employer groups and carriers.Primary Functions:1. Responsible for daily operation of billing and eligibility functions in the COBRA/Retiree Department.2. Supervises and develops staff, develops goals, provides daily work direction, vacation scheduling, monitoring work and attendance, and hiring and terminating employees.3. Ensures that appropriate personnel policies and procedures are followed using coaching, counseling, performance evaluations, promotions, and demotions, as needed.4. Oversees training of new and existing staff on all billing and eligibility functions and ensures that staff have the necessary tools and resources to be successful. 5. Assists staff with resolution of problem accounts involving eligibility and billing. 6. Maintains awareness of developments in COBRA federal and state continuation requirements. 7. Assist in development and implementation of new systems and technology.8. Provide articles for the quarterly newsletter. 9. Responsible for coordinating the transition of COBRA and/or Retiree administration to BHS, which includes contacts with agents, Marketing, employer groups and various carriers. 10. Remain aware of new developments in PERS and PEBB programs. Assists with coordinating plan change and open enrollment for PERS and PEBB.11. Coordinates member communication for open enrollment and plan changes.12. Ongoing communication with employer groups and carriers, including quarterly updates and problem resolution.13. Develops effective ways to measure turnaround time and monitor results.14. Analyzes staffing needs and makes recommendations to operations manager as workload fluctuates.15. Works with IS to streamline COBRA/Retiree workflow to automate job functions. 16. Interacts with BHS departments and Information Services to create and review billing and eligibility reports for all groups.17. Assists in the marketing process of adding new groups, servicing groups and renewing groups, including meeting with clients as needed.18. Keeps BHS Manager and General Manager abreast of department activities on a weekly basis.19. Continues education and training through attendance at COBRA seminars.20. Responsible for quality and process improvement. 21. Other duties as assigned.​Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

Required Skills

  1. College degree or four years experience in the health insurance field.

  2. Knowledge of COBRA federal and state continuation requirements preferred; specifically eligibility, handling of billings, customer service, and member communication materials.

  3. Computer proficiency with Microsoft Office application.

  4. Strong analytical, problem solving, decision-making, and organizational skills.

  5. Ability to deal effectively with a variety of individuals and groups related to the provision of services designed to retain existing accounts and obtain new accounts.

  6. Ability to anticipate, meet and/or exceed customers needs, wants and expectations. Ability to conduct meetings and presentations with clients and members.

  7. Ability to achieve extraordinary results through effective management of resources, systems and processes.

  8. Ability to focus efforts on meeting a goal, mission or objective.

  9. Ability to work well under pressure, work with frequent interruptions and shifting priorities

  10. Ability to lead, motivate and develop staff.

  11. Ability to adapt to change.

  12. Ability to work independently and as part of a team.

  13. Maintain attendance above company standards.

  14. Ability to maintain confidentiality and project a professional business image.