Skills & Competencies for Enrollment & Billing Representative III

Enrollment & Billing Representative III job profile

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JOB SUMMARY for Enrollment & Billing Representative III

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

JOB RESPONSIBILITIES for Enrollment & Billing Representative III

Maintains related documents, updates corresponding records and responsible for enrollment and billing query. May handle more complex enrollment or billing issues. May provide training or guidance to more junior representatives.

Enrollment & Billing Representative III SALARY RANGE

BASE 50%
$49,816
TOTAL 50%
$51,200
Job Level
A03
Job Code
FA06000804
Education/Degree
Associate's Degree
Reports To
Supervisor or Manager

Enrollment & Billing Representative III 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 III 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 III

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)
Defines the key terminologies and components of an insurance policy.
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Level 2 Behaviors
(Light Experience)
Enters new information about insurance premiums and payments to update insurance policy records.
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Level 3 Behaviors
(Moderate Experience)
Examines insurance applications and letters from clients to determine necessary policy changes.
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Level 4 Behaviors
(Extensive Experience)
Evaluates existing claims handling process to identify fraud and opportunities for optimization of outcomes.
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Level 5 Behaviors
(Mastery)
Champions the adoption of AI and automation technologies to streamline insurance operations.
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2 Industry Competency – Insurance Legal and Regulatory Environment
Proficiency Level -2
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)
Cites examples of the legal principles of insurance applicable to multiple types of insurance products.
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Level 2 Behaviors
(Light Experience)
Assists in assessing regulatory risks to ensure insurance operations meet compliance and regulatory obligations.
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Level 3 Behaviors
(Moderate Experience)
Adopts legal and regulatory initiatives to assess possible risks and maintain insurance solvency.
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Level 4 Behaviors
(Extensive Experience)
Directs the regulation of insurance products to ensure insurance policy provisions comply with state laws.
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Level 5 Behaviors
(Mastery)
Builds policy and regulatory tools to monitor and assess compliance levels with insurance laws and regulations.
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3 Enrollment & Billing Representative III - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Enrollment & Billing Representative III
Proficiency Level - 4
5 Competency for - Enrollment & Billing Representative III
Proficiency Level - 5

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

1 Job Family Competencies – Data Entry
Proficiency Level -3
Skill definition-Transcribing information into an electronic medium such as a computer or other electronic device.
Level 1 Behaviors
(General Familiarity)
Cites examples of the techniques and approaches used to improve the data entry process.
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Level 2 Behaviors
(Light Experience)
Assists in coding and verifying materials and resources for data processing entry.
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Level 3 Behaviors
(Moderate Experience)
Leverages data collection tools to enter and update collected information.
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Level 4 Behaviors
(Extensive Experience)
Collaborates with cross-functional teams to resolve escalated errors in data entry.
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Level 5 Behaviors
(Mastery)
Creates data entry protocols to monitor information consistency and integrity for positive business impacts.
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2 Job Family Competencies – Document Processing
Proficiency Level -3
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 III - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Enrollment & Billing Representative III
Proficiency Level - 4
5 Competency for - Enrollment & Billing Representative III
Proficiency Level - 5

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

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)
Gathers information on workflows and business controlling points.
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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)
Records all appointments on the calendar to easily track daily activities.
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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 III - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Enrollment & Billing Representative III
Proficiency Level - 4
5 Competency for - Enrollment & Billing Representative III
Proficiency Level - 5

Summary of Enrollment & Billing Representative III skills and competencies

There are 5 hard skills for Enrollment & Billing Representative III, Insurance Industry, Insurance Legal and Regulatory Environment, Enrollment and Billing Administration, etc.
4 general skills for Enrollment & Billing Representative III, Data Entry, Document Processing, Accounting, etc.
6 soft skills for Enrollment & Billing Representative III, 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 III, 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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