Electronic Enrollment Auditor
• Researched and resolved complex Enrollment system discrepancies related to eligibility • Managed and reviewed 100+ account specific daily/weekly activity/error reports to identify, fix eligibility errors• Acted as liaison between Sales, Accounts, and other internal and external customers pertaining to eligibility • Promptly and accurately performed coding and processing of member eligibility into corporate systems such as RTMS and NASCO (TPOL) • Attended client meetings to discuss better process improvements and resolve outstanding issues• Periodically requested and reviewed account specific audits• Monitored and reviewed account specific Filelink activity reports to ensure consistency between the customer and systems • Consistently achieved and sustained quality and productivity standards as they relate to the improvement of performance, productivity and turnaround times in relation to account and member satisfaction • Processed enrollment transactions from customers/accounts including emails, voicemails and other correspondence methods in accordance with Underwriting Guidelines, MTM and internal policies and procedures • Actively participated in team meetings, workgroups, and support continuous improvement efforts and other department sponsored projects and activities, as business needs dictate • Worked cross functionally within Enrollment and with other areas of BCBS including Sales, Provider Services, IT, and Customer Financial Management • Tracked and trended error volumes in an effort to identify unusual transaction/error activity• Engaged in job shadows providing prospective associates an overview of position, team dynamics and department operations and processes • Guided and served as point of contact for new associates
