Enrollment & Billing Specialist II

Enrollment And Billing Specialist IiWe 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 us.
Residency in or relocation to Louisiana is preferred for all positions.
Applicants must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support. Louisiana Blue will not provide current or future employment-based immigration sponsorship or other immigration support for this opportunity, including H-1B, L-1, O-1, H-1B1, E-3, TN, or J-1 sponsorship or F-1 OPT/STEM OPT/CPT support. Applicants who would require such sponsorship or employer support during their employment should not pursue this opportunity.
There are two positions that will be filled for this team. One position will report to Nichole Guillot and one position will report to Courtney Hart. These positions are both hybrid and will require onsite training at the Baton Rouge Corporate Campus.
Position PurposeThe Enrollment and Billing Specialist II must be able to perform the work of an E&B specialist I. Maintains and reconcile eligibility, delinquency and reinstatement issues. Analyze and process transactions and reports. Process member level refunds. Analyze and process transactions and reports. Work cohesively in a team and shift work tasks and priorities as needed.
Nature And ScopeThis role does not manage peopleThis role reports to this job: SUPERVISOR, ENROLLMENT & BILLINGNecessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with: Accounting, Actuarial, BET, Claims, Compliance, Customer Service, Finance, Legal, Sales and Marketing, Underwriting, IT, District Offices, Producers, Group Leaders, Brokers, 834 vendors and all levels of Enrollment and Billing personnel and other BCBSLA departments as needed.
Qualifications EducationHigh School Diploma or equivalent is requiredAssociate's is preferredWork Experience2 Years of clerical experience is required1 years of Enrollment and Billing experience is requiredRequired experience can run concurrently1 year of operational, marketing, and/or customer service experience is preferredSkills And AbilitiesMust understand insurance and working knowledge of enrollment and billing functions and 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, company guidelines, state and federal laws and mandates (e.g., HIPPA, 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.
Able to shift priorities as needed to cover multiple tasks in the process as directed by leadership.
Must possess a positive attitude which embraces customer-centric behavior, organizational cultural beliefs, company values as well as divisional requirements including efficiency, accuracy, productivity, and/or work schedule and confidentiality of information. Must be flexible to shift priorities as needed to cover multiple tasks in the process as directed by the Supervisor.
Must have working knowledge about plan products, company initiatives and other operational changes affecting the department.
Must be punctual and have regular attendance.
Must be able to work overtime during peak enrollment and renewal season.
Accountabilities And Essential FunctionsDuties of an Enrollment and Billing Specialist IProcess and maintain enrollment transactions for health, dental, vision, and other ancillary productsMaintain and reconcile eligibility, delinquency and reinstatementResolve enrollment and billing issuesRespond to inquiries, phone calls, emails and tasks, in a timely and accurately mannerAnalyze and process transactions and reportsCommunicate guidelines for enrollment to both internal and external customersMeet quality/production standards as determined by leadershipPerform self-audit and peer-audit procedures and complete related quality control documents and work management processesComply with all laws and regulations associated with duties a