- Demonstrates and maintains in-depth knowledge of enrollment processes and systems, underwriting rules, and federal and state application processing regulations and guidelines.
- Utilizes various computer systems and applications to perform daily functions.
- Works various reports and inquiries to update member information, compares and resolves data discrepancies between systems, and performs outreach with internal departments to verify information to ensure overall data accuracy.
- Reviews ID Cards prior to mailing and works with various internal departments and external vendors to ensure ID Card production needs are met and issues are resolved.
- Serves as a team representative in cross-functional and other meetings related to ID Cards.
- Ensures timeliness of ID Card issuance and enrollment accuracy in accordance with organizational and national measures.
- Answers questions/inquiries from various departments within the organization related to ID Card distribution.
- Uses historical and new ID Card business volume and timing information to create daily and monthly ID Card forecasts for vendor resource planning.
- Participates in the review and documentation of department policies and procedures.
- Shares knowledge with new and existing staff through job shadowing and knowledge sharing.
- Performs work under general supervision. Handles moderately complex issues and problems and refers more complex issues to higher-level staff.
- A High School Diploma with at least 3 years of experience with data processing, customer service or related experience.
- Ability to apply knowledge and expertise in order to utilize and understand systems, policies, and procedures.
- Makes internal or external customers' needs a primary focus of attention.
- Pays close attention to the details of all work and strives for a high level of accuracy.
- Organized and proficient in collecting data with the ability to prioritize in a changing environment.
- Ability to work closely with others and use effective approaches to accomplish goals.
- Resolves problems, makes suggestions and implements process improvements.
- Wellness incentives including well-being lifestyle spending accounts, employee assistance program and employee discounts.
- Encouraged paid time off including paid holidays and flexible holidays to use as you wish.
- 16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
- Employee recognition, community initiative events and yearly company outings.
- Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
- Our core benefits include health, dental, vision and life insurance, short-term and long-term disability and paid parental leave.
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Enrollment Specialist - Fargo, United States - Blue Cross Blue Shield of North Dakota
Description
All about us
You likely know us as an insurance company, but that's just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It's a mission we take seriously.
We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.
Work environment
This opportunity is eligible for a hybrid work arrangement based out of our Fargo, ND office. We empower our employees to find a work style that is best for them. Learn more at Life at Blue | BCBSND.
This position is eligible for internal and external applications.
Pay information
Pay Level: 015
FLSA Category: Non-Exempt-Hourly
A day in the life
The Enrollment Specialist is responsible for ensuring timely and accurate completion of complex enrollment data management tasks and issuance of member ID cards using established internal and vendor-related systems and processes. This position utilizes strong knowledge of organizational products, clients, processes, underwriting rules, and government regulations to guide decision making.
Your responsibilities will include
What you need to succeed
Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards
Benefits and perks
Equal opportunity employment
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.
For questions, please email
This job posting will be closed on 5/20/2024 at 8:00 a.m. (CT). No further applications will be considered.
Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR c)
