Enrollment Technician III (Remote)

CareFirst•Washington, DC
•Remote

About The Position

The Enrollment Technician III ensures members are accurately and promptly enrolled in CareFirst member enrollment systems according to contract or service agreement requirements for complex accounts. The role coordinates with client account contacts, subscribers, CareFirst Sales, Customer Service and Information Technology associates, and Account Installation teams at other BlueCross BlueShield Plans. The technician also trains and mentors less experienced associates and may guide matrixed resources.

Requirements

  • High school diploma or GED.
  • Five years of experience in membership enrollment, member services, billing, claims operations, and/or data analysis.
  • Work effectively in a team environment and adapt swiftly to multiple, rapidly changing priorities.
  • Learn and comprehend client account details, process flow diagrams, and health insurance enrollment software.
  • Work carefully with large volumes of member enrollment data and enter data accurately into the appropriate CareFirst system.
  • Use Microsoft Office Suite, especially Excel.
  • Meet established deadlines and handle multiple internal and external customer service demands within service expectations.
  • Communicate effectively and provide positive customer service to internal and external customers, including demanding or challenging customers.
  • Be eligible to work in the U.S. without sponsorship.

Responsibilities

  • Enroll subscribers and dependents across all lines of business for complex accounts using internal inventory workflows and requests received through system error reports, fax, U.S. mail, or email.
  • Verify enrollment status, update membership records, research and resolve system discrepancies, process terminations, and handle other enrollment events.
  • Complete monthly reconciliation and resolve discrepancies.
  • Coordinate with the Account Installation Team on member identification cards to ensure cards are not released until enrollment updates are complete and audited.
  • Coordinate with the Billing Technician to ensure group enrollments are processed before the monthly bill is run.
  • Assist the Account Installation Team with special projects and serve as a member enrollment subject matter expert at client account meetings as needed.
  • Mentor and train less experienced Enrollment Technicians.

Benefits

  • Comprehensive benefits package
  • Various incentive programs/plans
  • 401k contribution programs/plans
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