![Blue Cross and Blue Shield of Louisiana](https://media.trabajo.org/img/noimg.jpg)
Enrollment & Billing Specialist II
2 months ago
Blue Cross and Blue Shield of Louisiana Enrollment & Billing Specialist II Baton Rouge, Louisiana Apply Now
We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.
Residency in or relocation to Louisiana is preferred for all positions.
Grade 4
POSITION PURPOSE
The Enrollment and Billing Specialist II must be able to perform the work of an E&B specialist I. Maintains and reconciles eligibility, delinquency, and reinstatement issues. Analyze and process transactions and reports. Process member level refunds. Work cohesively in a team and shift work tasks and priorities as needed.
NATURE AND SCOPE
This role does not manage people.
This role reports to this job: SUPERVISOR, ENROLLMENT & BILLING.
QUALIFICATIONS
Education
High School Diploma or equivalent is required. Associate's is preferred.
Work Experience
2 years of Enrollment and Billing experience is required. 1 year of operational, marketing, and/or customer service experience is preferred.
Skills and Abilities
Must understand insurance and have working knowledge of enrollment and billing functions and the FACETS system.
Must have strong organizational and analytical abilities and effective interpersonal skills.
Must have the ability to research, analyze, and resolve enrollment and billing issues.
Must have working knowledge of relevant software (MS Word, Excel, Outlook, etc.) and related software as other corporate programs and applications, including but not limited to SMA (preferred), Common Query, CMOD, and Benefit Focus.
Must have working knowledge to apply company policies and procedures, state and federal laws and mandates (e.g., HIPAA, COBRA, PPACA, etc.) to ensure information is current and accurate.
Must demonstrate verbal and communication skills with the ability to interpret and communicate information with tact, diplomacy, patience, and professionalism.
Must be able to make quick, appropriate decisions that lead to both internal and external customer satisfaction with minimal supervision, learn quickly, multitask, prioritize work to meet deadlines, and adapt to a fast-paced, changing environment.
Able to cohesively work in a team environment to ensure efficient and effective completion of all tasks for assigned groups. Must be flexible to shift priorities as needed to cover multiple tasks as directed by leadership.
Must possess a positive attitude which embraces customer-centric behavior, organizational cultural beliefs, company values, and divisional requirements including efficiency, accuracy, productivity, and confidentiality of information.
Must be punctual and have regular attendance. Must be able to work overtime during peak enrollment and renewal seasons.
Licenses and Certifications
None Required
ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS
Process and maintain enrollment transactions for health, dental, vision, and other ancillary products.
Maintain and reconcile eligibility, delinquency, and reinstatement.
Resolve enrollment and billing issues.
Respond to inquiries, phone calls, emails, and tasks in a timely and accurate manner.
Analyze and process transactions and reports.
Communicate guidelines for enrollment to both internal and external customers.
Meet quality/production standards as determined by leadership.
Perform self-audit and peer-audit procedures and complete related quality control documents and work management processes.
Comply with all laws and regulations associated with duties and responsibilities.
Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.
Perform other job-related duties as assigned within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominantly done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze is required.
An Equal Opportunity Employer
All BCBSLA EMPLOYEES please apply through Workday Careers.
Additional Information
Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.
In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, our company properties are smoke and tobacco free.
Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process, records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles, and credit bureaus.
Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
#J-18808-Ljbffr
-
Enrollment & Billing Specialist II
2 months ago
Baton Rouge, United States Blue Cross and Blue Shield of Louisiana Full timeWe take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. **Grade 4** **POSITION PURPOSE** The Enrollment and...
-
Billing Specialist
4 weeks ago
Baton Rouge, United States LA Health and Rehab, Inc. Full timeJob DescriptionJob DescriptionLA Health and Rehab options has an opening for a Billing Specialist. We are looking for a highly motivated person with prior experience in medical billing. This position interface regularly with the leadership of the organization and report to the Program Director.Essential Functions:Knowledge of medical billing/ collections...
-
Billing Operations Specialist
1 week ago
Baton Rouge, Louisiana, United States LA Health and Rehab, Inc. Full timePosition OverviewLA Health and Rehab, Inc. is seeking a dedicated individual to join our team as a Billing Specialist. The ideal candidate will possess prior experience in the field of medical billing and demonstrate a strong motivation to excel in this role. This position will require regular interaction with the organization's leadership and will report...
-
Provider Enrollment Specialist
3 weeks ago
Baton Rouge, United States Gainwell Technologies - HMS Holdings Corporation Full timeAs a Provider Enrollment Specialist - Baton Rouge, LA - Hybrid at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a communitys most vuln Enrollment, Specialist, Healthcare
-
Provider Enrollment Coordinator
1 week ago
Baton Rouge, Louisiana, United States Gainwell Technologies - HMS Holdings Corporation Full timePosition OverviewAs a Provider Enrollment Specialist at Gainwell Technologies - HMS Holdings Corporation, you will play a vital role in enhancing the health and well-being of communities by ensuring efficient enrollment processes.Key ResponsibilitiesManage and oversee the enrollment of healthcare providers, ensuring compliance with regulatory...
-
Credentialing and Enrollment Manager
20 hours ago
Baton Rouge, Louisiana, United States Baton Rouge General Full timeJob SummaryBaton Rouge General is seeking a highly skilled and detail-oriented Provider Enrollment Specialist to join our team. As a key member of our operations team, you will be responsible for building and maintaining positive relationships with network providers and members, ensuring seamless enrollment and credentialing processes.Key...
-
Billing Specialist
5 months ago
Baton Rouge, United States the family clinic Full timeJob DescriptionJob DescriptionDaily coding and billing of patient encounters Tracking claim payments correcting and refiling claims and calling patients to collect balances not paid by insurance
-
Healthcare Innovations RN Specialist II
3 days ago
Baton Rouge, Louisiana, United States Mindlance Full timeHealthcare Innovations RN Specialist II Job Overview Elevate your professional journey with Mindlance We have been connecting skilled healthcare professionals with leading organizations since 1999. Mindlance is dedicated to assisting you in finding the ideal match with the right employer. Currently, we are looking for a Health Navigator for a...
-
Healthcare Billing Associate
1 week ago
Baton Rouge, Louisiana, United States LA Health and Rehab, Inc. Full timePosition OverviewLA Health and Rehab, Inc. is seeking a dedicated individual to join our team as a Billing Specialist. The ideal candidate will possess a strong background in medical billing and demonstrate a commitment to excellence in their work. This role involves regular interaction with the organization's leadership and direct reporting to the Program...
-
Medical Billing Coordinator
1 week ago
Baton Rouge, Louisiana, United States LA Health and Rehab, Inc. Full timePosition OverviewLA Health and Rehab, Inc. is seeking a dedicated Billing Specialist to join our team. The ideal candidate will possess a strong background in medical billing and demonstrate a commitment to excellence in service delivery. This role involves regular interaction with organizational leadership and will report directly to the Program...
-
Healthcare Innovations RN Specialist II
4 days ago
Baton Rouge, Louisiana, United States Mindlance Full timeHealthcare Innovations RN Specialist II Job Overview Elevate your professional journey with Mindlance Since 1999, we have been dedicated to connecting skilled IT professionals with leading organizations. Mindlance is committed to assisting you in discovering the ideal opportunity that aligns with your career aspirations. Presently, we are in search of a...
-
Provider Enrollment Specialist
1 month ago
Baton Rouge, United States Baton Rouge General Full timeDescription This position will build and nurture positive relationships with Network providers and members by delivering high quality service through regular engagement.Routinely collects, verifies, and reports all provider demographic changes, additions, deletions, or corrections for provider enrollment and credentialing.Manages member inquiries regarding...
-
Baton Rouge, United States LONG LAW FIRM, LLP Full timeJob DescriptionJob DescriptionLong Law Firm is seeking for a part-time Electronic Billing Specialist and Book-keeping Assistant to join their firm in Baton Rouge. EducationHigh School Diploma or GED requiredWork Experience2+ years’ experience in professional services preferred, but not requiredSpecial SkillsDetail orientedModerate experience with Microsoft...
-
Baton Rouge, United States Mindlance Full timeMedical / Healthcare - CW Healthcare Innovations RN Specialist II Job Description Advance your career with Mindlance! We have been connecting talented IT professionals with world-class companies since 1999. Mindlance is here to help you to find the perfect fit with just the right company. Currently, we are seeking a Health Navigator for an...
-
Healthcare Innovations RN Specialist II
4 days ago
Baton Rouge, Louisiana, United States Mindlance Full timeHealthcare Innovations RN Specialist IIPosition OverviewElevate your career with Mindlance - a leader in connecting skilled professionals with top-tier organizations since 1999. We are currently in search of a Health Navigator to explore a rewarding career opportunity.This role offers a chance to engage in meaningful work that aligns with your passion. Our...
-
Healthcare Innovations RN Specialist II
3 days ago
Baton Rouge, Louisiana, United States Mindlance Full timeHealthcare Innovations RN Specialist IIPosition OverviewElevate your career with Mindlance - a trusted partner in connecting skilled healthcare professionals with leading organizations since 1999. We are currently looking for a Health Navigator to join our team for a promising career advancement opportunity.This role offers a chance to engage in meaningful...
-
Reliability Specialist Level II
19 hours ago
Baton Rouge, Louisiana, United States John H Carter CO Full timeJob SummaryWe are seeking a highly skilled Reliability Specialist Level II to join our team at John H. Carter CO. The successful candidate will be responsible for ensuring the overall safety of the work environment and ensuring compliance with company, client, and regulatory standards.Key ResponsibilitiesSafety and Compliance: Assumes responsibility for the...
-
Healthcare Billing Specialist
3 days ago
Baton Rouge, Louisiana, United States Remington College Full timePosition OverviewRemington College is in search of a skilled instructor for medical billing and coding.If you are a passionate and knowledgeable professional in medical insurance billing and coding, ideally with prior teaching experience, we would like to connect with you.This role involves educating students at our institution, reporting directly to the...
-
Healthcare Billing Specialist
3 days ago
Baton Rouge, Louisiana, United States Remington College Full timePosition OverviewRemington College is on the lookout for a highly skilled instructor in medical billing and coding.If you are a passionate and knowledgeable professional in medical insurance billing and coding, ideally with experience in teaching, we would like to connect with you.This role involves contributing to the educational mission at our institution,...
-
Healthcare Innovations RN Specialist II
3 days ago
Baton Rouge, Louisiana, United States Mindlance Full timeHealthcare Innovations RN Specialist IIPosition Overview Elevate your career with Mindlance - a trusted partner in connecting skilled healthcare professionals with leading organizations since 1999. We are currently looking for a Healthcare Navigator to explore a promising career advancement opportunity. This role offers a chance to engage in meaningful work...