Resp & Qualifications
The Enrollment Technician I 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. 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 Blue Cross Blue Shield Plans.
Under the general guidance and direction of the Member Enrollment Supervisor, the Enrollment Technician I is responsible for the accurate and timely processing and maintenance of all membership and employer data for Large Group members, including data for Medicare enrollees. The Enrollment Technician I is also responsible for processing terminations, and other enrollment events, as well as responding to inquiries pertaining to member eligibility status. The Enrollment Technician I will likewise adhere to and fully support all divisional policies and performance metrics. In accordance with the mission and values of the Large Group Account Installation Division, the Enrollment Technician I will also ensure prompt and reliable service to all internal and external customers, will provide rapid resolution to all issues and inquiries that are received by the associate directly from the originator or through AI Services, and will support the fundamentals of the Quality Improvement Program’s Service Excellence Process.
Under the direction of the Member Enrollment Supervisor, the essential duties and responsibilities include, but are not limited to, the following:
1. 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. Utilize multiple CareFirst systems including, but not limited to, FACETS, NASCO, CARE, Members Edge, FISERV, and SharePoint.
2. Coordinate with the Large Group 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.
3. Adhere to all client account performance guarantees. Update Technician Renewal Log during open enrollment periods. Provide the Large Group Quality Assurance (QA) Team with audit information upon request.
QUALIFICATIONS AND REQUIREMENTS:
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
Please apply before: 3/26/2019
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.
The associate 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 associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship