Skills & Competencies for Enrollment & Billing Representative II

Enrollment & Billing Representative II job profile

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.

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 the policy conditions of various insurance contracts and products.
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Level 2 Behaviors
(Light Experience)
Provides prompt responses to clients’ insurance-related questions and concerns.
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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)
Discusses the importance of insurance regulations in protecting clients' financial security and assets.
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Level 2 Behaviors
(Light Experience)
Gathers and interprets policy contracts to understand insurance legal and regulatory standards.
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Level 3 Behaviors
(Moderate Experience)
Maintains financial and market regulation to validate insurance's accounting methods and procedures.
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Level 4 Behaviors
(Extensive Experience)
Sets guidelines to promote fairness and transparency in financial markets in providing insurance products.
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Level 5 Behaviors
(Mastery)
Develops compliance and risk management standards to manage overall insurance legal and regulatory environment.
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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)
Explains codes and instructions in performing data entry.
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Level 2 Behaviors
(Light Experience)
Conducts basic data entry tasks to ensure information accuracy and completion.
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Level 3 Behaviors
(Moderate Experience)
Uses various technologies in performing data entry transactions to improve the overall efficiency.
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Level 4 Behaviors
(Extensive Experience)
Facilitates timely entry of data into the system to correct data incompatibilities.
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Level 5 Behaviors
(Mastery)
Establishes data entry systems to detect data errors and initiate corrective action plans.
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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 workflow design of document processing and management.
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Level 2 Behaviors
(Light Experience)
Files paper documents for processing according to classification categories.
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Level 3 Behaviors
(Moderate Experience)
Prepares paperwork to ensure completion and conformance of documents to processing guidelines.
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Level 4 Behaviors
(Extensive Experience)
Oversees the processing of all documents to detect and avoid document errors.
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Level 5 Behaviors
(Mastery)
Leads document processing by validating data for complex issues across multiple systems.
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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)
Identifies our internal and external sources for the SOPs we need.
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Level 2 Behaviors
(Light Experience)
Gathers information on workflows and business controlling points.
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Level 3 Behaviors
(Moderate Experience)
Maintains the accuracy of SOPs to provide consistent guidance in our workplace.
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Level 4 Behaviors
(Extensive Experience)
Leverages the use of SOPs to solve business and operation problems.
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Level 5 Behaviors
(Mastery)
Keeps abreast of industry regulation and its effect on our internal SOPs.
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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)
Lists best practices and tools to maintain high accuracy and thoroughness in the workplace.
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Level 2 Behaviors
(Light Experience)
Records all appointments on the calendar to easily track daily activities.
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Level 3 Behaviors
(Moderate Experience)
Sets up processes to ensure delivery of high-quality work.
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Level 4 Behaviors
(Extensive Experience)
Employs techniques for motivating personnel to meet or exceed accuracy goals.
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Level 5 Behaviors
(Mastery)
Leads the creation of tools for enhancing and assuring accuracy.
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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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