Senior Enrollment Specialist - Remote / Telecommute

Job Title: Senior Enrollment Specialist - Remote / Telecommute

Job Location: Baltimore, MD

Job Type: Contract

Pay Range: $18.12hr - $23.12hr

Job Overview:

The Enrollment Technician III is responsible for ensuring that members are accurately enrolled into member enrollment systems in a timely manner and according to contract agreements for complex accounts. This position involves processing enrollment workflows, resolving discrepancies, assisting with account installation, and mentoring less experienced associates.

Additional Skills:

• Data entry, ability to navigate a computer and multiple screens efficiently.

Purpose:

The Enrollment Technician III is responsible for ensuring that members are accurately enrolled into 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, sales, customer service, and information technology associates, as well as associates aligned to the Account Installation Division of other health plans. This position trains and mentors new and less experienced 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, mail, and email for complex accounts. Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and handle other forms of enrollment events. Complete monthly reconciliation processes and resolve discrepancies.
• Coordinate with the Account Installation Team as it pertains to the 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 serving as a member enrollment subject matter expert for client account meetings as needed. Mentor and train less experienced Enrollment Technicians.

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:

• 5+ years of experience in membership enrollment, member services, billing, claims operations, or data analysis.

Preferred Qualifications: Knowledge, Skills and Abilities (KSAs):

• Ability to work effectively in a team environment (Advanced).
• Ability to adapt swiftly to multiple and rapidly changing priorities (Advanced).
• Ability to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software (Advanced).
• Ability to work effectively with large amounts of member enrollment data, paying close attention to detail upon entering data into the appropriate system (Advanced).
• Proficiency in Microsoft Office Suite, especially Excel (Advanced).

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• Medical, Dental, and Vision Insurance
• 401(k) Retirement Plan
• Health Savings Account (HSA)
• Disability Insurance (Short-Term and Long-Term)
• Life and AD&D Insurance
• Paid Sick Leave (where required by applicable state or local law)
• Supplemental Insurance Plans
• Identity Theft Protection
• Pet Insurance
• Employee Wellness Programs
• Employee Assistance Program (EAP)
• Career Growth and Professional Development Opportunities