Enrollment & Billing Specialist I

Blue Cross And Blue Shield Of Louisiana

Job Location:

Baton Rouge, LA - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

We take great strides to ensure our employees have the resources to live well be healthy continue learning develop skills grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Residency in or relocation to Louisiana is preferred for all positions.

POSITION PURPOSE

The Enrollment and Billing Specialist I sets up new enrollments for health dental vision and other ancillary products timely and accurately processed within departmental guideline. Manages renewals and benefit changes for groups. Responds to enrollment and/or billing inquiries timely and accurately. Process member level refunds. Work cohesively in a team and shift work tasks and priorities as needed.

NATURE AND SCOPE

This role does not manage people
This role reports to this job: SUPERVISOR ENROLLMENT & BILLING
Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with:Accounting Actuarial BET Claims Compliance Customer Service Finance Legal Sales and Marketing Underwriting IT District Offices Producers Group Leaders Brokers 834 vendors and all levels of Enrollment and Billing personnel and other BCBSLA departments as needed.

QUALIFICATIONS

Education

High School Diploma or equivalent is required
Associates is preferred

Work Experience

1 year of clerical experience is required
Completion of the Medical Assistant Coding & Insurance Pathway from BRCC can be used in lieu of the one year of experience.

Skills and Abilities

Good typing and 10 key skills is required required
Customer service payment processing accounts receivable invoicing bookkeeping accounting or related experience preferred
Must demonstrate PC skills including Microsoft Office (e.g. Word Excel Outlook etc.) and related software as other corporate software progrms and applications.
Familiarity with medical and health insurance terminology preferred
Demonstrated verbal and written communication skills with the ability to interpret and communicate information with tact diplomacy patience and professionalism.
Must be able to assist both internal and external customers in a variety of situations as well as handle multiple tasks concurrently.
Able to cohesively work in a team environment to ensure efficient and effective completion of all tasks for assigned groups.
Conflict resolution skills and remains calm under pressure/stressful situations
Must be able to to demonstrate critical thinking and problem solving skills
Must possess a positive attitude which embraces customer-centric behavior organizational cultural beliefs company values as well as divisional requirements including efficiency accuracy productivity and/or work schedule and confidentiality of information. Must be flexible to shift priorities as needed to cover multiple tasks in the process as directed by the Supervisor.
Become knowledgeable about plan products company initiatives and other operational changes affecting the department.
Must be punctual and have regular attendance.
Must be able to work overtime during peak enrollment and renewal season.

Licenses and Certifications

None Required

ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS

Sets up and Process new enrollment for health dental vision and other ancillary products
Process benefit changes and renewals
Process member level refunds
Perform self-audit and peer-audit procedures and complete related quality control documents and work management processes
Comply with all laws and regulations associated with duties and responsibilities
Assist internal/external customers via the telephone and/or email with enrollment or invoice related inquiries

Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions

Perform other job-related duties as assigned within your scope of responsibilities.
Job duties are performed in a normal and clean office environment with normal noise levels.
Work is predominately done while standing or sitting.
The ability to comprehend document calculate visualize and analyze are required.

An Equal Opportunity Employer

All BCBSLA EMPLOYEES please apply through Workday Careers.

PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME FIREFOX SAFARI)

Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive only those most qualified will be contacted. To monitor the status of your application please visit the My Applications section in the Candidate Home section of your Workday account.

If you are an individual with a disability and require a reasonable accommodation to complete an application please contact for assistance.

In support of our mission to improve the health and lives of Louisianians Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke and in order to promote good health our company properties are smoke and tobacco free.

Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration criminal courts federal state and county repositories of criminal records Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994 individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

Required Experience: