Job Title: Enrollment Technician (Healthcare, Insurance Claims & Eligibility)
Location: Baltimore, MD
Duration: 12 Months+
PURPOSE:
The Technician, Enrollment II 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, Underwriting, Finance, and Information Technology associates, as well as associates aligned to the Account Installation Division of other BlueCross BlueShield Plans.
ESSENTIAL FUNCTIONS:
70% Enroll subscribers and dependents for all lines of business as requested via 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 processes and resolve discrepancies in a timely manner.
20% 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.
10% May assist with initial training for new hires and training res for experienced hires.
Required Experience:
3 years experience in membership enrollment, member services, billing, claims operations, and/or data analysis
Previous healthcare insurance (Healthcare plans) 2-3 years
Knowledge of group administration and member enrollment processes
Strong customer service and communication skills
Attention to detail and data accuracy
Experience researching and resolving enrollment discrepancies
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