Enrollment Technician I

PURPOSE:

The Technician Enrollment I 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. 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 department of other BlueCross BlueShield Plans.

ESSENTIAL FUNCTIONS:

75% Enroll subscribers and dependents for all lines of business as requested via fax U.S. mail and/or email. 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.

25% 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.

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: less than one year 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

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 use Microsoft Office specifically Excel