Enrollment & Billing Specialist II

Blue Cross and Blue Shield of Louisiana • Baton Rouge, LA

2d • Onsite

About The Position

This position is responsible for maintaining and reconciling eligibility, delinquency, and reinstatement issues. The specialist will analyze and process transactions and reports, process member-level refunds, and work cohesively in a team, shifting tasks and priorities as needed. Residency in or relocation to Louisiana is preferred. This posting is being used to fill two Enrollment & Billing vacancies within different lines of business. Candidates may be considered for either the ASO Enrollment & Billing Team or the Fully Insured Enrollment & Billing Team.

Requirements

• High School Diploma or equivalent is required.
• 2 Years of clerical experience is required.
• 1 years of Enrollment and Billing experience is required.
• Must understand insurance and working knowledge of enrollment and billing functions and FACETS system.
• Must have strong organizational and analytical abilities and effective interpersonal skills.
• Must have the ability to research, analyze, and resolve enrollment and billing issues.
• Must have working knowledge of relevant software (MS Word, Excel, Outlook, etc.) and related software as other corporate programs and applications, including but not limited to SMA (preferred), Common Query, CMOD, and Benefit Focus.
• Must have working knowledge to apply company policies and procedures, company guidelines, state and federal laws and mandates (e.g., HIPPA, COBRA, PPACA, etc.) to ensure information is current and accurate.
• Must demonstrate verbal and communication skills with the ability to interpret and communicate information with tact, diplomacy, patience and professionalism.
• Must be able to make quick, appropriate decisions that lead to both internal and external customer satisfaction with minimal supervision, learn quickly, multitask, prioritize work to meet deadlines, and adapt to a fast-paced, changing environment.
• Able to cohesively work in a team environment to ensure efficient and effective completion of all tasks for assigned groups.
• Able to shift priorities as needed to cover multiple tasks in the process as directed by leadership.
• 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.
• Must have working knowledge 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.

Nice To Haves

• Associate's is preferred.
• 1 year of operational, marketing, and/or customer service experience is preferred.
• SMA (preferred)

Responsibilities

• Maintains and reconcile eligibility, delinquency and reinstatement issues.
• Analyze and process transactions and reports.
• Process member level refunds.
• Work cohesively in a team and shift work tasks and priorities as needed.
• Process and maintain enrollment transactions for health, dental, vision, and other ancillary products.
• Resolve enrollment and billing issues.
• Respond to inquiries, phone calls, emails and tasks, in a timely and accurately manner.
• Communicate guidelines for enrollment to both internal and external customers.
• Meet quality/production standards as determined by leadership.
• 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.
• Perform other job-related duties as assigned, within your scope of responsibilities.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED