Senior Enrollment & Billing Specialist

Blue Cross and Blue Shield of Louisiana Inc.; Baton Rouge (LA); On-site; USD 42,000 - 60,000; Full time

Job summary

Blue Cross and Blue Shield of Louisiana Inc. is seeking an Enrollment and Billing Specialist III to resolve complex inquiries, maintain membership records, and process refunds within FACETS. The role requires strong insurance knowledge, adherence to HIPAA/COBRA/PPACA, and the ability to coordinate across multiple internal teams.

The position emphasizes teamwork, accuracy, and the capacity to manage high-priority cases in a fast-paced environment, with residency in Louisiana preferred.

Qualifications

• Must understand insurance and enrollment/billing basics.
• Knowledge of HIPAA, COBRA, PPACA requirements.
• Strong data gathering and communication skills.
• Able to work independently under deadlines.

Responsibilities

• Serve as SME for enrollment and billing processes.
• Coordinate with Legal, DOI, Compliance to resolve issues.
• Collect information early in the process to minimize hand-offs.
• Process refunds and reinstatements; generate letters.
• Meet quality/production standards and perform audits.

Skills

Communication skills

Time management

Analytical ability

Problem solving

Teamwork

Education

High School Diploma or equivalent

Associate's degree preferred

Tools

FACETS system

MS Word

Excel

Outlook

Job description

Blue Cross and Blue Shield of Louisiana Inc. is seeking an Enrollment and Billing Specialist III to resolve complex inquiries, maintain membership records, and process refunds within FACETS. The role requires strong insurance knowledge, adherence to HIPAA/COBRA/PPACA, and the ability to coordinate across multiple internal teams.

The position emphasizes teamwork, accuracy, and the capacity to manage high-priority cases in a fast-paced environment, with residency in Louisiana preferred.