Representative, Enrollment I

BlueCross BlueShield of South Carolina•Columbia, SC

3d•Onsite

About The Position

Responsible for daily workflow activities related to membership and enrollment, 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 are between 7:00 a.m. and 4:30 p.m. The position receives and logs subscriber and member enrollment applications, processes applications and updates electronic enrollment files, and works edit/error reports generated from membership transactions. It coordinates with operational areas to ensure appropriate group structure, status, benefits, and billing, and may prepare and issue contracts, benefit books, and standard or custom ID cards. The role also responds to and resolves customer inquiries, contacts plan administrators and internal and external customers to address issues, and participates in special projects related to enrollment, billing, and reconciliations.

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 skills.

Nice To Haves

Specialized training in office technology or secretarial science.
One year of customer service, administrative or clerical support, and/or membership, billing, or accounts experience.
Working knowledge of database software.
Computer systems support knowledge.
Knowledge of booklet 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 and work edit/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.