Enrollment Processor, Advanced (I&B)

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Blue Shield of California is seeking an Enrollment Processor Advanced to join the Installation and Billing Team. You will process member enrollments, new member additions, and eligibility updates using automated systems in line with production and quality standards.

The role reports to the Operations Supervisor and supports accurate billing data. We emphasize leadership development, critical thinking, and high-performing teams.

Qualifications

• Requires High School Diploma or GED.
• Requires at least 5 years of prior relevant experience.
• Requires basic job knowledge of systems and procedures within Enrollment Processing.
• Knowledge of medical plans and benefits.

Responsibilities

• Process member enrollments and related data using automated systems within established production and quality standards.
• Handle new member additions, eligibility updates and reports in a timely manner.
• Support accurate billing information and data integrity for the enrollment and billing teams.

Education

High School Diploma or GED

Tools

Excel

Outlook

PowerPoint

Word

Job description

Your Role

The Installation and Billing Team processes member enrollments to provide access to care for our members and ensure accuracy of billing. The Enrollment Processor Advanced, will report to the Operations Supervisor. In this role you will process member level data and information using automated systems within established production and quality standards, in addition to processing new member additions, eligibility updates and reports within established production and quality standards.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Requires High School Diploma or GED



• Requires at least 5 years of prior relevant experience


• Requires basic job knowledge of systems and procedures within Enrollment Processing


• Intermediate-Advanced skills creating documents/files using Excel, Outlook, Power Point, and Word


• Knowledge of medical plans and benefits

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.