Group Enrollment Processor Job at Blue Cross Blue Shield of Massachusetts
Ready to help us transform healthcare? Bring your true colors to blue.
This role is eligible for Remote Employment.
This Enrollment role is responsible for setting up account and group level preferences and establishing billing and benefit values for the group. This role works closely with our Sales, Service and Finance partners. Tasks also include working with several databases and web-based applications. An analytical mindset is needed for determining course of action in processing production requests for all market segments.
Responsibilities:
Perform timely processing of standard and non-standard group transactions to support goals of operational excellence
Analyze and understand requests received by Sales; proactively respond to missing information, benefit discrepancies, ID card concerns, etc.
Process group coding transactions in accordance with underwriting guidelines and other policies and procedures.
Participate in process improvement activities and project work, as required
Develop and maintain effective working relationships within Enrollment and with other areas of BCBS
Consistently achieve department quality and productivity standards
Ability to interpret and apply complex workflows and question discrepancies.
Education and Experience:
High School Diploma or equivalent; college degree preferred
insurance or healthcare experience preferred
Knowledge of mainframe/RTMS systems.
Ability to utilize databases to review and validate information.
Working knowledge of medical and dental products offerings and/or BCBSMA product offerings
Professional demeanor and demonstrated accountability of personal development
A strong work ethic and team-oriented mindset
Microsoft Office experience, notably Outlook and Excel
Minimum Education Requirements:
High school degree or equivalent required unless otherwise noted above
Location Quincy Time Type Full time
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. We provide a flexible hybrid work model in which roles are designated as resident (on site 4-5 days/week), mobile (on site 1-3 days/week), or eworker (on site 0-3 days/month).
Blue Cross Blue Shield of Massachusetts, has a COVID-19 vaccination requirement. Your offer of employment is dependent upon either being fully vaccinated for COVID-19 or an accommodation based on a disability or sincerely held religious belief, practice, or observance by submitting a request to Human Resources.
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
This role is eligible for Remote Employment.
This Enrollment role is responsible for setting up account and group level preferences and establishing billing and benefit values for the group. This role works closely with our Sales, Service and Finance partners. Tasks also include working with several databases and web-based applications. An analytical mindset is needed for determining course of action in processing production requests for all market segments.
Responsibilities:
Perform timely processing of standard and non-standard group transactions to support goals of operational excellence
Analyze and understand requests received by Sales; proactively respond to missing information, benefit discrepancies, ID card concerns, etc.
Process group coding transactions in accordance with underwriting guidelines and other policies and procedures.
Participate in process improvement activities and project work, as required
Develop and maintain effective working relationships within Enrollment and with other areas of BCBS
Consistently achieve department quality and productivity standards
Ability to interpret and apply complex workflows and question discrepancies.
Education and Experience:
High School Diploma or equivalent; college degree preferred
insurance or healthcare experience preferred
Knowledge of mainframe/RTMS systems.
Ability to utilize databases to review and validate information.
Working knowledge of medical and dental products offerings and/or BCBSMA product offerings
Professional demeanor and demonstrated accountability of personal development
A strong work ethic and team-oriented mindset
Microsoft Office experience, notably Outlook and Excel
Minimum Education Requirements:
High school degree or equivalent required unless otherwise noted above
Location Quincy Time Type Full time
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. We provide a flexible hybrid work model in which roles are designated as resident (on site 4-5 days/week), mobile (on site 1-3 days/week), or eworker (on site 0-3 days/month).
Blue Cross Blue Shield of Massachusetts, has a COVID-19 vaccination requirement. Your offer of employment is dependent upon either being fully vaccinated for COVID-19 or an accommodation based on a disability or sincerely held religious belief, practice, or observance by submitting a request to Human Resources.
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.