Our client, a Health Insurance company, is looking for a Technician, Enrollment I for their Columbia, MD/Hybrid location.
Responsibilities:
The Technician, Enrollment I is responsible for ensuring that members are accurately enrolled into client 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, client Sales, Underwriting, Finance, and Information Technology associates, as well as associates aligned to the Account Installation department of other client Plans.
75% 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 terminations, and other forms of enrollment events.
Complete monthly reconciliation process and resolve discrepancies.
25% 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.
Requirements:
High School Diploma or GED
Less than one year’s experience in membership enrollment, member services, billing, claims operations, and/or data analysis
Must be able to work effectively in a team environment,
Must be able to adapt swiftly to multiple and rapidly changing priorities,
Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software,
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,
Must be able to use Microsoft Office, specifically Excel
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 care 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.