Operations - Technician, Enrollment II

Technician, Enrollment II

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.

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
• 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 CareFirst system
• Must be able to utilize Microsoft Office Suite, especially 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 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.