Enrollment Technician II - Remote Healthcare Operations Specialist for Member Enrollment and Benefits Administration

Join Our Team as an Enrollment Technician II: Enhancing Healthcare Access Remotely We are excited to announce an exceptional career opportunity for an Enrollment Technician II to join our dynamic team at CareFirst BlueCross BlueShield, working remotely. This role is pivotal in ensuring seamless and accurate enrollment of members into our healthcare systems, aligning with client contracts and service agreements. As a key member of our Enrollment Business Area team, you will have the chance to make a meaningful impact on healthcare accessibility and quality. About CareFirst BlueCross BlueShield CareFirst BlueCross BlueShield is a leading healthcare solutions organization dedicated to providing high-quality health insurance and related services to our members. With a rich history and commitment to excellence, we strive to enhance the health and well-being of our communities. Our culture values innovation, integrity, and customer-centricity, offering a collaborative and supportive work environment that fosters professional growth and development. Job Summary The Enrollment Technician II is a critical role responsible for accurately enrolling members into CareFirst's member enrollment systems in a timely manner, adhering to account contracts or service agreements, especially for complex accounts. This position involves coordinating with various stakeholders, including client account contacts, subscribers, and internal teams such as Sales, Underwriting, Finance, and Information Technology. The ideal candidate will possess a strong skillset in relevant areas, including attention to detail, analytical abilities, and excellent communication skills. Key Responsibilities Member Enrollment Management: 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 handle other forms of enrollment events. Monthly Reconciliation and Discrepancy Resolution: Complete monthly reconciliation processes and resolve discrepancies in a timely manner to ensure data accuracy and compliance. Coordination with Internal Teams: Coordinate with the Account Installation Team regarding member identification card processes to ensure cards are not released until all enrollment updates are completed and audited. Work closely with the Billing Technician to ensure that all group enrollments are processed prior to running the monthly bill. Training and Support: May assist with initial training for new hires and training refreshers for experienced hires to enhance team capabilities and knowledge sharing. Essential Qualifications Education: High School Diploma or GED required. Experience: 3 years' experience in membership enrollment, member services, billing, claims operations, and/or data analysis. Technical Skills: Proficiency in Microsoft Office Suite, especially Excel, and ability to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software. Preferred Qualifications Analytical and Problem-Solving Skills: Strong analytical abilities to resolve complex enrollment discrepancies and optimize processes. Communication and Interpersonal Skills: Excellent verbal and written communication skills, with the ability to effectively interact with internal and external stakeholders. Adaptability and Flexibility: Ability to adapt swiftly to multiple and rapidly changing priorities, deadlines, and work environments. Skills and Competencies Attention to Detail: High level of accuracy and attention to detail when entering data into CareFirst systems. Customer Service: Ability to provide positive customer service to every internal and external customer, including those who may be demanding or challenging. Teamwork and Collaboration: Must be able to work effectively in a team environment, contributing to shared goals and objectives. Career Growth Opportunities and Learning Benefits At CareFirst BlueCross BlueShield, we are committed to the professional development and growth of our employees. This role offers: Comprehensive Training: Access to training programs and professional development opportunities to enhance skills and knowledge. Mentorship: Guidance and support from experienced professionals in the field. Career Advancement: Opportunities for career progression and growth within the organization. Work Environment and Company Culture We offer a dynamic and supportive work environment that values: Remote Work: The flexibility to work from home, with occasional requirements to visit our office or other client sites. Inclusive Culture: A culture that promotes diversity, equity, and inclusion, welcoming individuals from all backgrounds. Employee Recognition: Regular recognition and rewards for outstanding performance and contributions. Compensation, Perks, and Benefits We offer a competitive compensation package that includes: Salary Range: $32,760 - $60,060, depending on experience and qualifications. Comprehensive Benefits: A comprehensive benefits package, including medical, dental, and vision coverage. 401k Contribution: A 401k contribution program to support your retirement savings. Incentive Programs: Various incentive programs and plans to reward performance and contributions. Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer, committed to providing 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. How to Apply If you are a motivated and detail-oriented professional looking to make a difference in healthcare, we encourage you to apply for this exciting opportunity. Please visit our website at www.carefirst.com/careers to submit your application. We look forward to hearing from talented candidates like you who are eager to contribute to our mission of enhancing healthcare access and quality. Apply for this job