Technician, Enrollment II

Description

PURPOSE: The Technician Enrollment II is responsible for ensuring that members are accurately enrolled into CareFirst member enrollment systems in a timely manner and according to the account contract or service agreement for complex accounts. To accomplish this the associate in this role may interact and coordinate activity with key client account contacts subscribers CareFirst Sales Underwriting Finance and Information Technology associates as well as associates aligned to the Account Installation Division of other BlueCross BlueShield Plans. ESSENTIAL FUNCTIONS: 70 Enroll subscribers and dependents for all lines of business as requested via fax U.S. mail and/or e-mail for complex accounts. Verify enrollment status make changes to membership records research and resolve enrollment system discrepancies process membership terminations and other forms of enrollment events. Complete monthly reconciliation processes and resolve discrepancies in a timely manner. 20 Coordinate with the Account Installation Team as it pertains to member identification card process to ensure cards are not released until all enrollment updates are completed and audited. Coordinate with the Billing Technician to ensure that all group enrollments are processed prior to running the monthly bill. 10 May assist with initial training for new hires and training refreshers for experienced hires. Qualifications To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education Level: High School Diploma or GED Experience: 3 years experience in membership enrollment member services billing claims operations and/or data analysis Preferred Qualifications Knowledge Skills and Abilities KSAs Must be able to work effectively in a team environment Proficient Must be able to adapt swiftly to multiple and rapidly changing priorities Proficient Must be able to learn and comprehend details of client accounts process flow diagrams and health insurance enrollment software Proficient Must be able to work effectively with large amounts of member enrollment data paying close attention to detail upon entering data into the appropriate CareFirst system Proficient Must be able to utilize Microsoft Office Suite especially Excel Proficient The incumbent is required to immediately disclose any debarment exclusion or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities deadlines and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer including customers who may be demanding or otherwise challenging.

Additional Skills & Qualifications

From Spotlight call: 100% remote but needs to be DMV area Computer savvy with Excel, Word, can format excel sheets Medicaid familiarity Reliable internet provider Using HealthEdge but moving to FACETS FACETS is nice to have but not required Must have D-SNP experience - stands for Dual Eligible Special Needs Plan 2+ years of enrollment experience that include Medicare/Medicaid Longevity of previous roles, not interested in someone who has bounced around 30 days of ongoing training and additional training for the new software 8:30am-5pm, Mon-Fri, could start as early as 8am

Experience Level

Entry Level