Enrollment Technician III
Pay Range: $18.12hr - $23.12hrJob Overview:
The Enrollment Technician III is responsible for ensuring that members are accurately enrolled into member enrollment systems in a timely manner, and according to the account contract or service agreement for complex accounts. To accomplish this, the candidate in this role may interact and coordinate activity with key client account contacts, subscribers, Sales, Customer Service, and Information Technology teams, as well as personnel aligned to the Account Installation Division of other healthcare plans. This position trains and mentors new and less experienced team members regarding all aspects of the enrollment processes. Additional Skills: Data entry skills, ability to navigate a computer and multiple screens efficiently.
Essential Functions:
Enroll subscribers and dependents for all lines of business as requested via internal inventory workflows, including requests originating from system error reports, fax, mail, and email for complex accounts. Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and handle other enrollment events. Complete monthly reconciliation processes and resolve discrepancies. Coordinate with the Account Installation Team regarding the 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. Provide support to the Account Installation Team by assisting with special projects and serving as a member enrollment subject matter expert for client account meetings as needed. Mentor and train less experienced Enrollment Technicians.
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.
Education Level: High School Diploma or GED.
Experience:
5 years of experience in membership enrollment, member services, billing, claims operations, or data analysis.
Preferred Qualifications:
Knowledge, Skills and Abilities (KSAs):Ability to work effectively in an advanced team environment.
Ability to adapt swiftly to multiple and rapidly changing priorities at an advanced level.
Ability to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software.
Ability to work effectively with large amounts of member enrollment data, paying close attention to detail upon entering data into the appropriate system.
Advanced proficiency in utilizing Microsoft Office Suite, especially Excel.
