Skills & Competencies for Enrollment & Billing Representative II

Enrollment & Billing Representative II job profile

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JOB SUMMARY for Enrollment & Billing Representative II

Responsible for the accurate enrollment and billing process for an insurance organization.

JOB RESPONSIBILITIES for Enrollment & Billing Representative II

Maintains related documents, updates corresponding records and responsible for enrollment and billing query. May handle more complex enrollment or billing issues.

Enrollment & Billing Representative II SALARY RANGE

BASE 50%
$42,144
TOTAL 50%
$43,357
Job Level
A02
Job Code
FA06000803
Education/Degree
High School Diploma or Technical Certificate
Reports To
Supervisor or Manager

Enrollment & Billing Representative II Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Enrollment & Billing Representative II skill and competencie below to view definitions.
INDUSTRY COMPETENCIES JOB FAMILY COMPETENCIES CORE COMPETENCIES
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5 hard skills or competencies (industry competencies) for Enrollment & Billing Representative II

1 Industry Competency – Insurance Industry
Proficiency Level -2
Skill definition-Applying knowledge of the insurance industry to provide risk management services and protection to various individuals from financial loss.
Level 1 Behaviors
(General Familiarity)
Explains how reinsurance aids in meeting the long-term debts and financial obligations of a business.
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Level 2 Behaviors
(Light Experience)
Locates resources to acquire updates regarding market shifts and regulatory changes in insurance.
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Level 3 Behaviors
(Moderate Experience)
Reviews and analyzes claim applications to determine coverage eligibility and rates.
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Level 4 Behaviors
(Extensive Experience)
Monitors market trends in insurance services to deliver improved business impacts.
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Level 5 Behaviors
(Mastery)
Establishes and enforces standards for handling claims to maximize insurance workflow efficiency.
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2 Industry Competency – Insurance Legal and Regulatory Environment
Proficiency Level -1
Skill definition-Creating, executing, and adhering to state and federal laws governing insurance operations to ensure financial security and consumer protection.
Level 1 Behaviors
(General Familiarity)
Describes the importance of compliance programs in maintaining an insurance legal and regulatory environment.
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Level 2 Behaviors
(Light Experience)
Documents compliance complaints to track and escalate possible legal violations and ensure prompt resolution.
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Level 3 Behaviors
(Moderate Experience)
Executes market conduct exams to verify the adherence of insurance operations to laws and regulations.
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Level 4 Behaviors
(Extensive Experience)
Reviews root causes of regulatory deficiencies to create corrective action plans and ensure adherence.
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Level 5 Behaviors
(Mastery)
Develops an insurance regulatory framework to promote consumers' protection and achieve policy objectives.
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3 Enrollment & Billing Representative II - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Enrollment & Billing Representative II
Proficiency Level - 4
5 Competency for - Enrollment & Billing Representative II
Proficiency Level - 5

4 general skills or competencies (Job family competencies) for Enrollment & Billing Representative II

1 Job Family Competencies – Data Entry
Proficiency Level -2
Skill definition-Transcribing information into an electronic medium such as a computer or other electronic device.
Level 1 Behaviors
(General Familiarity)
Documents key concepts and components from the data entry manual.
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Level 2 Behaviors
(Light Experience)
Compiles records to accurately enter data on record management systems.
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Level 3 Behaviors
(Moderate Experience)
Prepares for the possibility of wasting time, money, and resources by analyzing accurate and timely data.
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Level 4 Behaviors
(Extensive Experience)
Engages in the development of data entry procedures to drive successful data entry system implementation.
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Level 5 Behaviors
(Mastery)
Develops new processes, methods, and procedures to improve the accuracy of data entry services.
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2 Job Family Competencies – Document Processing
Proficiency Level -2
Skill definition-Converting, capturing, and processing data into digital formats to allow document integration into business processes.
Level 1 Behaviors
(General Familiarity)
Explains the best practices and principles in converting documents to various electronic formats.
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Level 2 Behaviors
(Light Experience)
Collects and compiles documents from various sources for review and processing.
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Level 3 Behaviors
(Moderate Experience)
Prepares documents for processing by extracting the structure and layout of document content.
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Level 4 Behaviors
(Extensive Experience)
Monitors the processing of documents to ensure compliance with protocols and standards.
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Level 5 Behaviors
(Mastery)
Keeps abreast with the industry best practices in document processing to increase workflow efficiency.
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3 Enrollment & Billing Representative II - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Enrollment & Billing Representative II
Proficiency Level - 4
5 Competency for - Enrollment & Billing Representative II
Proficiency Level - 5

6 soft skills or competencies (core competencies) for Enrollment & Billing Representative II

1 Core Competencies – Standard Operating Procedures (SOP)
Proficiency Level -2
Skill definition-A set of written instructions that describes the step-by-step activities to complete tasks in compliance with business standards and industry regulations.
Level 1 Behaviors
(General Familiarity)
Discusses the considerations and concerns on applying SOP for the first time.
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Level 2 Behaviors
(Light Experience)
Documents the SOP drafts and outlines for final approval.
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Level 3 Behaviors
(Moderate Experience)
Initiates SOP revisions to support continuous improvement of processes.
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Level 4 Behaviors
(Extensive Experience)
Evaluates the benefits and drawbacks of a specific SOP; oversees the corresponding enhancements.
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Level 5 Behaviors
(Mastery)
Establishes formal policies and procedures to guide the our SOP practices.
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2 Core Competencies – Attention to Detail
Proficiency Level -2
Skill definition-Executing and completing a task with a high level of accuracy.
Level 1 Behaviors
(General Familiarity)
Identifies the procedures for making sure that results are mistake-free.
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Level 2 Behaviors
(Light Experience)
Processes limited amounts of detailed information with reasonable accuracy.
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Level 3 Behaviors
(Moderate Experience)
Reviews and analyzes the accuracy of data and details.
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Level 4 Behaviors
(Extensive Experience)
Designs systems to help the team organize and track details and project progress.
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Level 5 Behaviors
(Mastery)
Develops best practices for identifying and correcting errors, oversights, and omissions.
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3 Enrollment & Billing Representative II - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Enrollment & Billing Representative II
Proficiency Level - 4
5 Competency for - Enrollment & Billing Representative II
Proficiency Level - 5

Summary of Enrollment & Billing Representative II skills and competencies

There are 5 hard skills for Enrollment & Billing Representative II, Insurance Industry, Insurance Legal and Regulatory Environment, Enrollment and Billing Administration, etc.
4 general skills for Enrollment & Billing Representative II, Data Entry, Document Processing, Accounting, etc.
6 soft skills for Enrollment & Billing Representative II, Standard Operating Procedures (SOP), Attention to Detail, Honesty And Integrity, etc.
While the list totals 15 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Enrollment & Billing Representative II, he or she needs to be proficient in Standard Operating Procedures (SOP), be proficient in Attention to Detail, and be proficient in Honesty And Integrity.

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