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Resp & Qualifications
PRINCIPAL ACCOUNTABILITIES:
Under the direction of the Manager or Supervisor, the essential duties and responsibilities include, but are not limited to, the following:
1. Enrolls subscribers and dependents for all business in a timely manner to meet the corporate objective of the issuance of timely and accurate ID cards. Processes terminations, coverage level changes, and other forms of subsequent enrollment activities for both paper and automated enrollment accounts. Resolves enrollment errors and reports in accordance with corporate guidelines. If account installation and enrollment are integrated, performs basic account installation functions, including review of group setup documentation, simple group structure setup, and coding on enrollment system.
2. Performs all basic billing and account reconciliation for all groups. Resolves billing/enrollment aspects of customer inquiries requiring knowledge of claims systems. If assigned to section service functions, handles phone and written inquiries from GA’s, brokers, and service related to enrollment & billing.
QUALIFICATION REQUIREMENTS:
Required: High School degree plus 2 years enrollment & billing, service, or claims experience.
Abilities/Skills: Ability to learn EAB, CARE, Facets, and/or FLEXX, FEP Direct and Onbase, enrollment and claims platforms. Excellent oral and written communication skills, mathematical, PC literacy, keyboard, and problem solving skills. Can handle multiple and shifting priorities.
Preferred: 2 years college in applicable field. Previous experience working with electronic enrollment or claims processing in the healthcare industry.
Department
Department: Enrollment Business Support
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Closing Date
Please apply before: 3/2/2018
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to perform the essential duties and responsibilities of the position successfully. Requirements may be modified to accommodate individuals with disabilities.
The employee is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The employee must frequently talk and hear. Weights of up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
