Enrollment Specialist I-IV: HIPAA-Driven Member Services

Excellus BlueCross BlueShield; Town of De Witt (NY); On-site; USD 55,000 - 65,000; Full time

Job summary

Excellus BlueCross BlueShield is seeking an Enrollment Specialist to perform core enrollment processing and servicing. You will handle government programs and employer group enrollments, ensuring prompt, accurate responses to broker, member, and group inquiries.

The role emphasizes HIPAA compliance and working with multiple enrollment systems to maintain member data and eligibility. Strong communication and multitasking are essential for success.

Qualifications

• High School Diploma or Equivalent required.
• Minimum 2 years health insurance operations experience preferred.
• Excellent written and verbal communication skills.
• Strong organizational, analytical, and time management abilities.
• Attention to detail and accuracy; ability to multi-task.
• B Version: actively listen to customers while on the phone.

Responsibilities

• Handle enrollment for government programs, small to large employer groups.
• Maintain communication with internal teams and brokers to ensure accurate processing.
• Process new enrollments, renewals, changes, and terminations using multiple enrollment systems.
• Respond to inquiries from customers, brokers, and groups with accuracy and within SLA.
• Staff enrollment phone lines to resolve inbound inquiries promptly.

Skills

Communication skills

Organizational skills

Analytical skills

Time management

Active listening

Education

High School Diploma or Equivalent

Tools

Microsoft Office Suite

Job description

Excellus BlueCross BlueShield is seeking an Enrollment Specialist to perform core enrollment processing and servicing. You will handle government programs and employer group enrollments, ensuring prompt, accurate responses to broker, member, and group inquiries.

The role emphasizes HIPAA compliance and working with multiple enrollment systems to maintain member data and eligibility. Strong communication and multitasking are essential for success.