Enrollment Technician III (Remote)

CareFirst BlueCross BlueShield; Washington (District of Columbia); On-site; USD 42,000 - 77,000; Full time

Job summary

CareFirst BlueCross BlueShield seeks an Enrollment Technician III to ensure accurate enrollment of members in CareFirst systems for complex accounts. This role collaborates with client contacts, Sales, Customer Service, IT, and other BlueCross plans to ensure timely enrollment per contracts and services.

The role trains and mentors newer associates, supports the Account Installation Team with card processes, and helps resolve enrollment discrepancies with a strong focus on data integrity and

Qualifications

• Education: High School Diploma or GED.
• Experience: 5 years in membership enrollment, member services, billing, claims operations, and/or data analysis.
• KSAs: teamwork, adaptability to changing priorities, ability to learn enrollment software, data entry accuracy, Excel proficiency.

Responsibilities

• Enroll subscribers and dependents for all lines of business via internal workflows; verify enrollment status and process changes.
• Coordinate with Account Installation and Billing teams to ensure timely, audited enrollments and proper invoicing.
• Assist with special projects and mentor less experienced Enrollment Technicians.

Skills

Teamwork

Prioritization

Enrollment software

Data entry accuracy

Excel

Customer service

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

PURPOSE

The Enrollment Technician III 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, Customer Service and Information Technology associates, as well as associates aligned to the Account Installation Division of other BlueCross BlueShield Plans. This position trains and mentors new and less experience associates regarding all aspects of the enrollment processes. The Enrollment Technician III 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, Customer Service and Information Technology associates, as well as associates aligned to the Account Installation Division of other BlueCross BlueShield Plans. This position trains and mentors new and less experience associates regarding all aspects of the enrollment processes.

RESP & QUALIFICATIONS

The Enrollment Technician III 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, Customer Service and Information Technology associates, as well as associates aligned to the Account Installation Division of other BlueCross BlueShield Plans. This position trains and mentors new and less experience associates regarding all aspects of the enrollment processes.

ESSENTIAL FUNCTIONS

• Enroll subscribers and dependents for all lines of business as requested via internal inventory workflows which may include requests originating from system error reports, 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 process and resolve discrepancies.


• 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.


• Provide support to the Account Installation Team by assisting with special projects and by serving as a member enrollment subject matter expert for client account meetings as needed. Mentor and train less experience Enrollment Technicians.

SUPERVISORY RESPONSIBILITY

Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS

Education Level: High School Diploma or GED.

Experience: 5 years experience in membership enrollment, member services, billing, claims operations, and/or data analysis.

KNOWLEDGE, SKILLS AND ABILITIES (KSAs)

• Must be able to work effectively in a team environment.


• Must be able to adapt swiftly to multiple and rapidly changing priorities.


• Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software.


• 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.


• Must be able to utilize Microsoft Office Suite, especially Excel.


• 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.

SALARY RANGE

$41,976 - $76,956

SALARY RANGE DISCLAIMER

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location.

• In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

DEPARTMENT

Enrollment Business Support

EQUAL EMPLOYMENT OPPORTUNITY

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

FEDERAL DISC/PHYSICAL DEMAND

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

SPONSORSHIP IN US

Must be eligible to work in the U.S. without Sponsorship