Representative, Enrollment I

BlueCross BlueShield of South Carolina•Columbia, SC

2d•Onsite

About The Position

The Representative, Enrollment I is responsible for daily membership and enrollment workflow, including processing applications for new enrollments, terminations or cancellations, changes, renewals, and database updates. This is a full-time, 40-hour-per-week, Monday-through-Friday position in an office environment, located at 4101 Percival Road, Columbia, SC 29229. Work hours fall between 7:00 a.m. and 4:30 p.m. The role receives and logs subscriber and member enrollment applications, processes enrollment transactions, updates electronic enrollment files, and addresses edit and error reports. The representative works with multiple operational areas and with plan administrators and internal and external customers to resolve issues, respond to inquiries, and ensure appropriate group structure, status, benefits, and billing. The position may also involve preparing and issuing contracts, benefit books, and standard or custom ID cards, as well as participating in enrollment, billing, and reconciliation projects. The position requires a high school diploma or equivalent, working knowledge of word processing and spreadsheet software, customer service and organizational skills, sound judgment, communication skills, basic business math, analytical thinking, and discretion when handling confidential information. Microsoft Office is required. Preferred qualifications include office technology or secretarial science training; relevant customer service, clerical, membership, billing, or accounts experience; and knowledge of databases, computer systems support, enrollment materials and regulations, insurance laws, benefit structures, and Microsoft Access. The work environment is a typical office setting. Travel between office buildings and moving or carrying boxes and materials may be required. Benefits eligibility begins on the first of the month following 28 days of employment.

Requirements

High school diploma or equivalent.
Ability to acquire knowledge of the membership system.
Working knowledge of word processing and spreadsheet software.
Good judgment.
Effective customer service and organizational skills.
Demonstrated verbal and written communication skills.
Basic business math proficiency.
Analytical or critical thinking skills.
Ability to handle confidential or sensitive information with discretion.
Microsoft Office.

Nice To Haves

Specialized training in office technology or secretarial science.
One year of experience in customer service, administrative or clerical support, and/or membership, billing, or accounts work.
Working knowledge of database software.
Computer systems support knowledge.
Knowledge of booklet and ID card preparation, underwriting enrollment regulations, and contract formats.
Knowledge of state and federal laws related to private business types of insurance.
Knowledge of standard benefit structures.
Working knowledge of Microsoft Access.

Responsibilities

Receive and log subscriber and member enrollment applications in the system.
Process and key applications for new enrollments, terminations or cancellations, changes, and renewals.
Update electronic enrollment files.
Work edit and error reports generated from membership transactions.
Coordinate with operational areas to ensure appropriate group structure, status, benefits, and billing.
May prepare and issue contracts, benefit books, and standard or custom ID cards.
Respond to and resolve customer inquiries.
Contact plan administrators and internal and external customers to resolve issues and problems.
Participate in assigned special projects related to enrollment, billing, and reconciliations.