ROLE: The Technician, Enrollment II 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 for complex accounts. 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 Client Client Plans.
ESSENTIAL FUNCTIONS:
Enroll subscribers and dependents for all lines of business as requested via 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 processes and resolve discrepancies in a timely manner.
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.
May assist with initial training for new hires and training refreshers for experienced hires.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: High School Diploma or GED
Experience: 3 years experience in membership enrollment, member services, billing, claims operations, and/or data analysis
Additional Skills:
" Possess a passion for Customer Service.
" Innovative thinking and drive for results.
" Ability to interface with a culturally diverse population.
" Display exceptional oral and written communication skills.
" Comfortable learning and working in a virtual environment (work from home).
" Proven ability to successfully complete distance learning (EX webinars, online, eLearning).
" Work experience in a Quality/Production driven environment.
" Capability to navigate concurrently between multiple software systems with relative ease.
" Working knowledge of basic computer functions including Microsoft products, internet research and email communication.
" Additional required experience includes use of automated systems, PC or CRT proficiency,
" Position requires performance in either service or claims for a minimum of 18 months at a meets standard level or above.
" Must have previous customer service and/or claims experience.
" Experience performing duties that are detailed in nature, exposure to health care, health insurance, medical information, and direct service experience is preferred.
" Proven time and organizational management skills.
" Exposure to project management and supervision is helpful.
Preferred Qualifications
Knowledge, Skills and Abilities (KSAs)
Must be able to work effectively in a team environment, Proficient
Must be able to adapt swiftly to multiple and rapidly changing priorities, Proficient
Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software, Proficient
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, Proficient
Must be able to utilize Microsoft Office Suite, especially Excel, Proficient
**Talteam Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.**