
2 - 10 employees
⚕️ Healthcare Insurance
🏥 Healthcare
Healthcare Insurance • Healthcare
Horizon Connect @ Wall BCBSNJ is a LinkedIn presence or local program/office associated with Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Based on the name and context, it appears to be connected to Horizon BCBSNJ’s health insurance operations and local outreach or member/provider engagement in the Wall, NJ area. Publicly available information provided is limited and mostly LinkedIn site chrome rather than a company profile, so this description is conservative and based on the affiliation indicated by the name.
🔥 14 hours ago
🦌 Connecticut, New Jersey, +2 more states – Remote
💵 $56.2k - $75.3k / year
⏰ Full Time
🟢 Junior
🚫👨🎓 No degree required
👻 Ghost score 14%
Where this job comes from
Posted on Horizon Connect @ Wall BCBSNJ's careers page ↗, not through a job board
First seen by Remote Rocketship 14 hours ago
Still open on Horizon Connect @ Wall BCBSNJ's site. Checked 9 hours ago.

2 - 10 employees
⚕️ Healthcare Insurance
🏥 Healthcare
Healthcare Insurance • Healthcare
Horizon Connect @ Wall BCBSNJ is a LinkedIn presence or local program/office associated with Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Based on the name and context, it appears to be connected to Horizon BCBSNJ’s health insurance operations and local outreach or member/provider engagement in the Wall, NJ area. Publicly available information provided is limited and mostly LinkedIn site chrome rather than a company profile, so this description is conservative and based on the affiliation indicated by the name.
• Support members through an integrated approach combining care coordination and community outreach. • Help members navigate and access physician services, healthcare services, community services, and other resources. • Answer or address benefit and health plan questions. • Provide referrals to local services and community agencies. • Maintain effective working relationships with members and staff while communicating PHA program goals and objectives. • Assist members and serve as a liaison between members and community service organizations when needed. • Identify members needing clinical triage, assessment, or intervention and notify the clinical team for guidance. • Resolve billing, claims, and benefit issues with relevant organizational departments. • Identify appropriate providers and physicians for assigned members. • Refer and assist members with appointment scheduling, services, facilities, and appointment reminders. • Identify barriers to healthcare access and maintain members' treatment and healthcare goals. • Contact, engage, and communicate with assigned members. • Proactively refer members to Case Management, Chronic Care Program, or other beneficial Horizon programs.
• High School Diploma/GED required. • Requires a minimum of 1 year experience in customer service in healthcare industry. • Requires a valid driver's license and access to transportation/vehicle. • Understanding of the community served and community connectivity required. • Medical terminology knowledge required. • Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, Outlook, Lync, and PowerPoint). • Should be knowledgeable in the use of intranet and internet applications. • Requires good communication skills, such as listening well, strong interpersonal communication skills and the ability to explain healthcare terminology to a lay audience. • Requires ability to use a personal computer and applicable software and systems. • Requires ability to make sound decisions under the direction of Supervisor. • Requires strong analytical and interpersonal skills. • Prefer 2 years' experience in a Managed Care company. • Prefer 2 years' experience in medical billing and claims coding/processing. • Prefers experience working in a customer service, healthcare setting, or community-based setting. • Prefers the ability to analyze and resolve problems with minimal supervision.
• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement
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