CareFirst–Enrollment Technician

 

Job Title:  Technician, Enrollment

Location: Washington DC/Portals

Career Band: Band II

Job ID #: 9174

PURPOSE:
The Enrollment Technician I is responsible for ensuring that members are accurately enrolled into CareFirst member enrollment systems in a timely manner, and according to the account contract or service agreement.   To accomplish this, the associate in this role may interact and coordinate activity with key client account contacts, subscribers, CareFirst Sales, Underwriting, Finance, and Information Technology associates, as well as associates aligned to the Account Installation Division of other Blue Cross Blue Shield Plans.

POSITION RESPONSIBILITIES:
Under the general guidance and direction of the Member Enrollment Supervisor, the Enrollment Technician I is responsible for the accurate and timely processing and maintenance of all membership and employer data for Large Group members, including data for Medicare enrollees.  The Enrollment Technician I is also responsible for processing termination´s, and other enrollment events, as well as responding to inquiries pertaining to member eligibility status.  The Enrollment Technician I will likewise adhere to and fully support all divisional policies and performance metrics.   In accordance with the mission and values of the Large Group Account Installation Division, the Enrollment Technician I will also ensure prompt and reliable service to all internal and external customers, will provide rapid resolution to all issues and inquiries that are received by the associate directly from the originator or through AI Services, and will support the fundamentals of the Quality Improvement Program’s Service Excellence Process.

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

Enroll subscribers and dependents for all lines of business as requested via fax, U.S. mail, and/or e-mail.  Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership termination´s, and other forms of enrollment events.  Complete monthly reconciliation process and resolve discrepancies. Utilize multiple CareFirst systems including, but not limited to, FACETS, NASCO, CARE, Members Edge, FISERV, and SharePoint.

Coordinate with the Large Group Installation Team as it pertains to member identification card process to ensure cards are not released until all enrollment updates are completed and audited.  Coordinate with the Billing Technician to ensure that all group enrollments are processed prior to running the monthly bill.

Adhere to all client account performance guarantees. Update Technician Renewal Log during open enrollment periods.  Provide the Large Group Quality Assurance (QA) Team with audit information upon request.

QUALIFICATIONS AND REQUIREMENTS:
Required:

High School diploma or equivalent
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
Excellent written, oral communication, listening, and interpersonal skills

Abilities/Skills:
Must be able to work effectively in a team environment
Must be able to adapt swiftly to  multiple and rapidly changing priorities
Must support change and innovation, serving as a role model to stay ahead of competition
Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software as it relates to systems such as NASCO, FACETS, etc.
Must be able to work effectively with large amounts of member enrollment data, paying close attention to  detail upon entering data into the appropriate CareFirst system
Must be able to prioritize workload during heavy workload periods
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 AI management team where applicable
Must illustrate respect for diversity in the workplace and must support a satisfying work environment for all AI associates
Must demonstrate daily support of the AI priority system: 1) customer, 2) company, 3) associate
Must actively champion all components of the Quality Improvement Program’s Service Excellence Process
Must be able to develop and maintain positive relationships with all internal and external customers, while responding rapidly to all requests and inquiries received directly from the originator or from the AI Services Team
Must provide exemplary service to all customers by supporting a “Do it right the first time” philosophy and a zero defects environment

Preferred:
Some college education
Experience in a health insurance / payor environment

Department:  Enrollment Business Support

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.

Actual salary will be based on relevant job experience and work history.

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

Please apply before:  11/4/2016

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.

PHYSICAL DEMANDS:

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 up to 25 pounds are occasionally lifted.

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

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