Our Client, a Health Insurance company, is looking for an Enrollment Technician III for their Remote location.
Responsibilities:
70% Enroll subscribers and dependents for all lines of business as requested via internal inventory workflows which may include requests originating from system error reports, fax, U.S. mail, and/or e-mail for complex accounts.
Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events.
Complete monthly reconciliation process and resolve discrepancies.
15% Coordinate with the Account 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.
15% Provide support to the Account Installation Team by assisting with special projects and by serving as a member enrollment subject matter expert for client account meetings as needed.
Mentor and train less experienced Enrollment Technicians.
Requirements:
Education Level:
High School Diploma or GED
Experience:
5 years' experience in membership enrollment, member services, billing, claims operations, and/or data analysis
Preferred Qualifications:
Must be able to work effectively in a team environment, Advanced
Must be able to adapt swiftly to multiple and rapidly changing priorities, Advanced
Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software, Advanced
Must be able to work effectively with large amounts of member enrollment data, paying close attention to detail upon entering data into the appropriate client system, Advanced
Must be able to utilize Microsoft Office Suite, especially Excel, Advanced
The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on client programs.
Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time.
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence.
Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
Why Should You Apply?
Health Benefits
Referral Program
Excellent growth and advancement opportunities
Numbers & Facts
Location
MD
Skills
Auditingunmatched
Billingunmatched
Communication Skillsunmatched
Customer Support/Serviceunmatched
Data Analysisunmatched
Data Entryunmatched
Detail Orientedunmatched
Health Insuranceunmatched
Health Planunmatched
Healthcare Softwareunmatched
High School Diplomaunmatched
Mentoringunmatched
Microsoft Excelunmatched
Microsoft Officeunmatched
Process Flow Diagram (PFD)unmatched
Reconciliationunmatched
Team Playerunmatched
Time Managementunmatched
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