CareFirst– Enrollment Technician II

 

Job Title: Technician, Enrollment II

Location: Portals/DC

Career Band:   II

Job ID #: 8865

PURPOSE: The Enrollment Technician II is responsible for ensuring that members are accurately enrolled in a timely manner so that the system is correct and the member is satisfied.  To accomplish this, the associate in this role may interact and coordinate with accounts, members, sales, underwriting, finance, systems, and other Blues Plans’ account installation, HMOs, payroll offices, the Office of Personnel Management, FEP Operations Center® and other internal service units of CareFirst.

PRINCIPAL ACCOUNTABILITIES:
Under the direction of the Member Enrollment Supervisor, the essential duties and responsibilities include, but are not limited to, the following:

Process enrollment related activities for all lines of business as requested via fax, U.S. mail, and/or e-mail.  Process SSN letters, Enrollment Confirmation Forms, Other Health Information Questionnaires, 1095B activity as well as address updates via FEP Direct.

Coordinate workflow through the department and monitor work in the absence of the Supervisor.  Reports unit status as well as issues. Provides training for new hires and contingent workers for the clerical unit. Works closely with the Enrollment and IT Business Support leadership team to keep abreast of procedural changes and communicate this information with to the team.

Verify enrollment status and complete Quality Review processes of forms received via FAX or scanned to the Any Doc System.  Ensure documents are properly routed to appropriate form families.  Utilize multiple FEPOC systems including, but not limited to, FEPDirect, AnyDoc, On-Base, SRTS, and Outlook (email incoming Inquiries). Responsible for the reporting of daily activities and inventory.  Working with CareFirst UCP Mailing Area. Enrollment Business Areas, and Contact Center on mailings, scanning, and other related activity.

Assist in audit activities and archiving of files.

 

QUALIFICATIONS AND REQUIREMENTS:

Required: High School diploma or equivalent plus 2-3 years’ experience in membership enrollment, member services, billing, claims operations and or data analysis.  Skilled application of MS Office Suite as well as corporate e-mail and calendar systems.

Abilities/Skills:

  • Able  to work effectively in a team environment
  • Can handle multiple and shifting priorities
  • Must be able to prioritize workload during heavy workload periods
  • Attention to detail in regard to entering data into the appropriate FEPOC systems
  • Must have strong analytical and problem solving skills, and must be able to problem solve independently, as well as by collaborating with other team members
  • Must possess relevant skills that enable the associate to meet all individual quantitative and qualitative performance metrics
  • Must be able to analyze business information and make recommendations to management when applicable
  • Good oral and written communication Skills, PC literacy, keyboard, and problem solving skills

PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an associate to perform the essential duties and responsibilities of the position successfully.  Requirements may be modified to accommodate individuals with disabilities.

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights of up to 25 pounds are occasionally lifted.

Department: Enrollment Busi Support

 

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Must be eligible to work in the U.S. without Sponsorship

Please visit our website to apply: www.carefirst.com/careers

Please apply before:  September 3, 2016

Actual salary will be based on relevant job experience and work his

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