Intake Specialist - NC Only
Job Description
We’re seeking an Intake Specialist to join the Intake Call Center on the Commercial UM Operations Team! Based on established guidelines, the Intake Specialist takes inbound calls to process a variety of internal and external member/provider requests and transactions. Receives, screens, and enters data in preparation for review. Complies with timeliness standards and reduces unpaid claims and rework by accurately processing requests. May also assist on special projects as needed.
This position is open to candidates located in North Carolina.
What You'll Do
• Process a variety of requests, inquiries and transactions via phone, email,and fax.
• Review requests to ensure accuracy.
• Support internaland external customers via phone or email.
• Document all pertinent information related to the call/inquiry, attach supporting information as applicable and if unable to resolve route toappropriate areafor follow up as applicable.
• Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process.
• Screen inquiries todetermineif authorization isrequired.
• Verify member benefits and eligibility and/or provider setup.
• Maintain and update Service Requests and research incorrect or missing information.
• Triage and assign all incoming inquiries ina timely, efficient manner throughout the day toappropriate staff.
What You Bring
• High school diploma or GED
• 3+ years of related call center experience
Bonus Points(preferred qualifications)
• Call center intakeexperiencehandling volume of 55-60 calls/day
WhatYou’llGet
The opportunity to work at thecutting edgeof health care delivery with a teamthat’sdeeply invested in the community
• Work-life balance, flexibility, and the autonomy to dogreat work
• Medical, dental, and vision coverage along withnumeroushealth and wellness programs
• Parental leave and support plus adoption and surrogacyassistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
• Based on annual corporate goal achievement and individual performance.
$41,600.00 - $66,561.00Skills
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Apply To this Job
We’re seeking an Intake Specialist to join the Intake Call Center on the Commercial UM Operations Team! Based on established guidelines, the Intake Specialist takes inbound calls to process a variety of internal and external member/provider requests and transactions. Receives, screens, and enters data in preparation for review. Complies with timeliness standards and reduces unpaid claims and rework by accurately processing requests. May also assist on special projects as needed.
This position is open to candidates located in North Carolina.
What You'll Do
• Process a variety of requests, inquiries and transactions via phone, email,and fax.
• Review requests to ensure accuracy.
• Support internaland external customers via phone or email.
• Document all pertinent information related to the call/inquiry, attach supporting information as applicable and if unable to resolve route toappropriate areafor follow up as applicable.
• Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process.
• Screen inquiries todetermineif authorization isrequired.
• Verify member benefits and eligibility and/or provider setup.
• Maintain and update Service Requests and research incorrect or missing information.
• Triage and assign all incoming inquiries ina timely, efficient manner throughout the day toappropriate staff.
What You Bring
• High school diploma or GED
• 3+ years of related call center experience
Bonus Points(preferred qualifications)
• Call center intakeexperiencehandling volume of 55-60 calls/day
WhatYou’llGet
The opportunity to work at thecutting edgeof health care delivery with a teamthat’sdeeply invested in the community
• Work-life balance, flexibility, and the autonomy to dogreat work
• Medical, dental, and vision coverage along withnumeroushealth and wellness programs
• Parental leave and support plus adoption and surrogacyassistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
• Based on annual corporate goal achievement and individual performance.
$41,600.00 - $66,561.00Skills
Apply tot his job
Apply To this Job