Intake Specialist

🔥 8 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $41.6k - $66.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Blue Cross NC

WebsiteLinkedInAll Job Openings

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 to ensure accuracy • Support internal and external customers via phone or email • Document pertinent call or inquiry information and attach supporting information • Route unresolved inquiries to the appropriate area for follow-up • Gather and analyze data to provide Team Leads feedback on employee development needs and providers requiring education on prior approval or pre-certification • 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 throughout the day • Perform monthly peer audits • Provide clinical review outcome notifications to members and providers verbally and in writing • Assist with 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 • Ability to process requests, inquiries, and transactions via phone, email, fax, and mail • Ability to review requests for accuracy • Ability to support internal and external customers via phone or email • Ability to document pertinent information and route unresolved inquiries appropriately • Ability to gather and analyze data • Ability to screen inquiries to determine whether authorization is required • Ability to verify member benefits, eligibility, and provider setup • Ability to maintain and update Service Requests and research incorrect or missing information • Ability to triage and assign incoming inquiries • Ability to perform monthly peer audits • Ability to provide clinical review outcome notifications verbally and in writing

🏖️ Benefits

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community • Work-life balance, flexibility, and the autonomy to do great work • Medical, dental, and vision coverage • Numerous 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 • Annual Incentive Bonus • Paid Time Off (PTO)