Enrollment & Billing Specialist II

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

1d•Hybrid

About The Position

The Enrollment & Billing Specialist II performs the work of an Enrollment and Billing Specialist I and maintains and reconciles eligibility, delinquency, and reinstatement issues. The role analyzes and processes transactions and reports, processes member-level refunds, and works cohesively with the team while shifting work tasks and priorities as needed. The position does not manage people and reports to a Supervisor, Enrollment & Billing. The two openings are hybrid and require onsite training at the Baton Rouge Corporate Campus. Residency in or relocation to Louisiana is preferred. Applicants must be authorized to work in the United States without employer-sponsored immigration support. The specialist works with a broad range of internal departments and external contacts, including Accounting, Actuarial, Claims, Compliance, Customer Service, Finance, Legal, Sales and Marketing, Underwriting, IT, district offices, producers, group leaders, brokers, 834 vendors, and Enrollment and Billing personnel. Duties are performed in a normal, clean office environment with normal noise levels, predominantly while standing or sitting. The role requires the ability to comprehend, document, calculate, visualize, and analyze. Overtime may be required during peak enrollment and renewal season.

Requirements

High school diploma or equivalent required.
Two years of clerical experience required; required experience may run concurrently.
One year of Enrollment and Billing experience required; required experience may run concurrently.
Understanding of insurance and working knowledge of enrollment and billing functions and the FACETS system.
Strong organizational and analytical abilities and effective interpersonal skills.
Ability to research, analyze, and resolve enrollment and billing issues.
Working knowledge of relevant software, including MS Word, Excel, Outlook, and corporate programs and applications.
Working knowledge of company policies and procedures, company guidelines, and applicable state and federal laws and mandates, including HIPAA, COBRA, and PPACA.
Verbal and communication skills, including the ability to interpret and communicate information with tact, diplomacy, patience, and professionalism.
Ability to make appropriate decisions with minimal supervision, learn quickly, multitask, prioritize work to meet deadlines, and adapt to a fast-paced, changing environment.
Ability to work cohesively in a team and shift priorities as needed to cover multiple tasks.
Positive, customer-centric approach and ability to uphold company values and divisional requirements, including efficiency, accuracy, productivity, work schedule, and confidentiality.
Working knowledge of plan products, company initiatives, and operational changes affecting the department.
Punctuality and regular attendance.
Ability to work overtime during peak enrollment and renewal season.
Must be authorized to work in the United States without employer-sponsored immigration support.

Nice To Haves

Associate's degree preferred.
One year of operational, marketing, and/or customer service experience preferred.
Working knowledge of SMA preferred.
Residency in or relocation to Louisiana preferred.

Responsibilities

Process and maintain enrollment transactions for health, dental, vision, and other ancillary products.
Maintain and reconcile eligibility, delinquency, and reinstatement matters.
Resolve enrollment and billing issues.
Respond to inquiries, phone calls, emails, and tasks in a timely and accurate manner.
Analyze and process transactions and reports.
Process member-level refunds.
Communicate enrollment guidelines to internal and external customers.
Meet quality and production standards determined by leadership.
Perform self-audit and peer-audit procedures and complete related quality-control documents and work-management processes.
Comply with laws and regulations associated with assigned duties and responsibilities.
Work cohesively with the team and shift tasks and priorities as needed, including to cover multiple tasks as directed by leadership.
Perform other job-related duties within the scope of responsibilities.