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Membership Admin Account Specialist
BlueCross BlueShield of Tennessee. Implement filing and documentation procedures .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare enrollment processing and membership operations, ensuring data accuracy and compliance with regulations while effectively communicating with cross-functional teams and stakeholders.
Highest-signal resume keywords
Medicare Enrollment RegulationsHealthcare Industry ExperienceMicrosoft Office ProficiencyOral And Written Communication SkillsDetail-Oriented And Customer-Focused
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Filing ProceduresDocumentation ProceduresPolicy ProcessingData Accuracy MaintenanceIssue Resolution
Soft Skills
Interpersonal SkillsOrganizational SkillsCollaborationProblem-Solving
Tools & Technologies
Microsoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft PowerPoint
Industry Keywords
Membership OperationsQuality StandardsCustomer ServiceOperational Initiatives
About the role
Key responsibilities & impact- Implement filing and documentation procedures
- Maintain physical and electronic files accurately and currently
- Communicate with underwriters, agents, loss control specialists, and other partners regarding policy and case information
- Use information to improve services, anticipate and prevent problems, and suggest improvements
- Meet assigned quality and workload expectations
- Implement procedure revisions or improvements as necessary
- Meet production, timeliness, and quality standards
- Process assigned policies and cases according to department procedures
- Respond to complaints and inquiries
- Identify and resolve difficulties in membership and benefits services
- Support Medicare enrollment processing, eligibility maintenance, issue resolution, and operational initiatives
- Analyze account-related issues and maintain membership data accuracy and integrity
Requirements
What you’ll need- High School Diploma or equivalent
- 1 year of experience in the healthcare industry required
- Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
- Proficient oral and written communication skills
- Proficient interpersonal and organizational skills
- Comfortable working independently while maintaining strong collaboration with cross-functional teams
- Thorough understanding of Medicare enrollment regulations and membership operations
- Detail-oriented and customer-focused
Benefits
Comp & perks- Remote work arrangement
- Monday-Friday schedule
- Standard business hours
- Tools and resources to succeed
- Growth opportunities
- Creativity and continuous learning