Representative, Enrollment I

BlueCross BlueShield of South Carolina•Columbia, SC

4d•Onsite

About The Position

Summary Responsible for daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments, terminations/cancellations, changes, renewals, and database updates. Description Logistics: This is a full-time (40-hours/week) position, Monday-Friday in office environment. Employees will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. This position is located at 17 Technology Circle, Columbia, SC 29203. What You Will Do: Receives and logs subscriber and member enrollment applications to the system. Processes/keys applications including new enrollments, terminations/cancellations, changes, and renewals and updates all electronic enrollment files. Works edit/error reports generated from membership transactions. Works with multiple operational areas to ensure relevant/appropriate group structure, status, benefits, and/or billing. May prepare and issue contracts, benefit books, and standard/custom ID cards. Responds to and resolves customer inquiries. Contacts plan administrators and internal and external customers to resolve issues/problems. Participates in special projects assigned 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.

Nice To Haves

Data entry, office technology or secretarial science.
One (1) year-of customer service, administrative/clerical support, and/or membership/billing/accounts experience.
Working knowledge of database software.
Computer systems support knowledge.
Knowledge of booklet ID card preparation, underwriting enrollment regulations, 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

Receives and logs subscriber and member enrollment applications to the system.
Processes/keys applications including new enrollments, terminations/cancellations, changes, and renewals and updates all electronic enrollment files.
Works edit/error reports generated from membership transactions.
Works with multiple operational areas to ensure relevant/appropriate group structure, status, benefits, and/or billing.
May prepare and issue contracts, benefit books, and standard/custom ID cards.
Responds to and resolves customer inquiries.
Contacts plan administrators and internal and external customers to resolve issues/problems.
Participates in special projects assigned related to enrollment, billing and reconciliations.