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 3 POSITION PURPOSE The Enrollment and Billing Specialist I sets up new enrollments for health, dental, vision, and other ancillary products timely and accurately processed within departmental guideline. Manages renewals and benefit changes for groups. Responds to enrollment and/or billing inquiries timely and accurately. 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 Necessary 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 Education High School Diploma or equivalent is required Associate's is preferred Work Experience 1 year of clerical experience is required Completion of the Medical Assistant, Coding & Insurance Pathway from BRCC, can be used in lieu of the one year of experience. Skills and Abilities Good typing and 10 key skills is required required Customer service, payment processing, accounts receivable, invoicing, bookkeeping, accounting or related experience preferred Must demonstrate PC skills including Microsoft Office (e.g., Word, Excel, Outlook, etc.) and related software as other corporate software progrms and applications. Familiarity with medical and health insurance terminology preferred Demonstrated verbal and written communication skills with the ability to interpret and communicate information with tact, diplomacy, patience and professionalism. Must be able to assist both internal and external customers in a variety of situations as well as handle multiple tasks concurrently. Able to cohesively work in a team environment to ensure efficient and effective completion of all tasks for assigned groups. Conflict resolution skills and remains calm under pressure/stressful situations Must be able to to demonstrate critical thinking and problem solving skills 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. Become knowledgeable 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. Licenses and Certifications None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Sets up and Process new enrollment for health, dental, vision, and other ancillary products Process benefit changes and renewals Process member level refunds 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 Assist internal/external customers via the telephone and/or email with enrollment or invoice related inquiries 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 predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. #LI_CB1 An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) 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. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. 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, and in order to promote good health, 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. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. 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. Company Mission To improve the health and lives of Louisianians. Company Vision To be the market leader that delivers unsurpassed value to our customers through partnerships across the healthcare system. Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana Health Service & Indemnity company and is an independent licensee of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana.