Technician, Enrollment II

Lumen Solutions Group Inc

Baltimore, MD

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JOB DETAILS

JOB TYPE

Full-time

SKILLS

Auditing, Billing, Communication Skills, Customer Support/Service, Data Analysis, Data Entry, Desktop Administration, Desktop Virtualization, Detail Oriented, Diversity, Finance, Health Insurance, Healthcare, Healthcare Software, High School Diploma, Information Technology & Information Systems, Laptop PC, Microsoft Excel, Microsoft Office, Organizational Skills, Presentation/Verbal Skills, Process Flow Diagram (PFD), Programming Tools, Reconciliation, Sales, Software Administration, Team Player, Time Management, Underwriting, Writing Skills

LOCATION

Baltimore, MD

POSTED

30+ days ago

Job Description: PURPOSE: The Technician, Enrollment II 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 for complex accounts. 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 Division of other Client Client Plans. ESSENTIAL FUNCTIONS: 70% 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. 20% 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. 10% 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 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 Client system, Proficient Must be able to utilize Microsoft Office Suite, especially Excel, Proficient The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health 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. Skills: Category Name Required Importance Level Last Used Experience Administrative Organizational Skills Yes 6 Intermediate Administrative Verbal Communication Skills Yes 5 Intermediate Administrative Written Communication Skills Yes 5 Novice Development Tools MS Excel No 4 Novice Technical Data Entry Yes 5 Intermediate ***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. The contractor must have their own equipment. Access to a virtual desktop set up (software) will be provided by Lumens client, allowing the user access to the required systems and technology.*** Lumen Solutions Group Inc. is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

About the Company

Lumen Solutions Group Inc

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