Enrollment Specialist

Description:

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 refreshers for experienced hires. 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: 3 years experience in membership enrollment member services billing claims operations and/or data analysis Preferred Qualifications Knowledge Skills and Abilities KSAs Must be able to work effectively in a team environment Proficient Must be able to adapt swiftly to multiple and rapidly changing priorities Proficient Must be able to learn and comprehend details of client accounts process flow diagrams and health insurance enrollment software Proficient 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 Proficient Must be able to utilize Microsoft Office Suite especially Excel Proficient The incumbent is required to immediately disclose any debarment exclusion or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities deadlines and workloads that can be variable for long periods of time. 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.

Skills:

data entry, microsoft office

Top Skills Details:

data entry,microsoft office

Experience Level:

Entry Level

About TEKsystems:

Were partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. Thats the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.