Intake Specialist

🔥 16 hours ago

🌲 North Carolina – Remote

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💵 $41.6k - $66.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of Blue Cross NC

Blue Cross NC

5001 - 10000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.

📋 Description

• Process requests, inquiries, and transactions via phone, email, fax, and mail • Review requests for accuracy • Support internal and external customers via phone or email • Document call and inquiry information and attach supporting information • Route unresolved issues to the appropriate area for follow-up • Gather and analyze data to provide feedback to Team Leads on employee development needs and providers requiring education • Screen inquiries to determine whether authorization is required • Verify member benefits, eligibility, and provider setup • Maintain and update Service Requests • Research incorrect or missing information • Triage and assign incoming inquiries to appropriate staff • Perform monthly Peer Audits • Provide clinical review outcome notifications to members and providers verbally and in writing • Assist on special projects as needed

🎯 Requirements

• High school diploma or GED • 3+ years of experience in related field • At this time, Blue Cross NC will not sponsor employment authorization for this position • Prior telephone-based customer service experience strongly preferred • Familiarity with and understanding of medical terminology is a plus

🏖️ Benefits

• Medical, dental, and vision coverage • Health and wellness programs • Parental leave and support • Adoption and surrogacy assistance • Career development programs • Tuition reimbursement for continued education • 401k match including an annual company contribution • Paid Time Off (PTO) • Annual Incentive Bonus • Flexible work arrangements • Work-life balance and autonomy

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