Membership Enrollment Specialist I

Arkansas Blue Cross and Blue Shield

About the role

The Membership Enrollment Specialist I processes enrollment additions, updates, changes, reinstatements, and terminations accurately and timely for the assigned product line. This role also handles renewals and premium billing, interacting with external customers such as employer groups, 834 vendors, brokers/consultants, and internal teams like Underwriting, Account Management, Sales, Customer Service, and Claims to resolve issues.

Requirements

• High School diploma or equivalent.
• Minimum two (2) years' college coursework (48 semester hours) or equivalent certification with an emphasis in general business, health plan administration, or medical-related fields OR minimum of one (1) year of relevant office work experience (e.g., claims administration, medical office, health insurance).

Skills

• Strong time management and organizational skills
• Results-driven with highly developed attention to detail
• Primary focus on accuracy and outcomes
• Customer service
• Strong interpersonal skills
• Keyboarding
• Dependability
• High integrity and confidentiality
• Problem solving and issue resolution
• Sound judgment
• Computer literacy (Microsoft Office)
• Oral and written communication
• Teamwork
• Active listening
• Administrative review
• Conflict resolution
• Critical thinking
• Decision making
• External collaboration
• Interpersonal communication
• Organizing and performing administrative activities
• Problem sensitivity
• Researching
• Results interpretation
• Time management

Responsibilities

• Accepts, investigates, and responds to incoming calls, emails, and other communications accurately, timely, and professionally.
• Assists employer groups, 834 vendors, brokers/consultants, Customer Service, Claims, Account Management, and/or Sales staff as required.
• Confirms information including enrollment/membership status, records, questions, concerns, and database requests.
• Supports high-work-volume Open Enrollment activities annually.
• Generates and distributes membership-related documents such as ID cards, Certificates of Coverage, and Certificates of Creditable Coverage.
• Maintains ongoing correspondence with internal and external customers.
• Performs other duties as assigned.
• Processes enrollment additions, changes, reinstatements, and cancellations accurately and timely.
• Provides clerical and technical support for enrolling members, membership vendors, brokers, consultants, and employer groups.
• Delivers excellent customer service and guidance to both internal and external customers.
• Ensures up-to-date knowledge and achievement of divisional standards related to production, quality, and dependability.

Certifications & Security

• This position is identified as level three (3) for security requirements.
• Must ensure the security and confidentiality of records to prevent harm, embarrassment, inconvenience, or unfairness to individuals.
• Must maintain the integrity of information as outlined in the company Administrative Manual.
• Adheres to segregation of duties guidelines in the Administrative Manual to prevent or detect errors or irregularities.

Employment Type

Regular

ADA Requirements

General Office Worker, Sedentary, Campus Travel – Primarily works in an office setting or remotely and routinely travels for work within walking distance of the primary work assignment.