BCBSMA is seeking a new Customer Service Representative (Provider Service) for our elite Provider Services Division!
The role is eligible for the following personas: E-worker, Resident & Mobile
$1,000 Sign-on Bonus! *
Remote work available
Full Time
$20.00 / hour ($39,000 / year)
The Provider Services Representative (Customer Service) will resolve telephone and written provider claims-related service inquiries. The Provider Services Representative (Customer Service) will be responding to our provider’s benefit-related issues and questions, responding to questions on corporate policies and guidelines, timely filing, account receivables, claims processing, etc. The Provider Services Representative (Customer Service) will represent Provider Services in a positive and professional manner through appropriate telephone techniques and written responses.
RESPONSIBILITIES:
Assess, identify, and resolve provider inquiries in a timely and professional manner
Research and handle complex requests in an appropriate time frame with effective follow up
Review and manage personal inventory, in a timely manner, including aged inquiries
Communicate in a clear and concise manner to providers, peers and all levels of leadership
Contribute to the achievement of divisional and corporate goals including MTM
Comply with corporate, division, and team policies and guidelines
Educate providers on electronic technology and track trends for process improvements
Continually develop telephone techniques and research skills through self-assessment and constructive feedback
Monitor performance indicators in relation to individual, team, and divisional goals
Participate in workgroups and attend meetings to represent the division as required
Share innovative and creative solutions that result in increased levels of provider satisfaction
Foster a team based environment by participating in various activities that lead to associate support and provider satisfaction
QUALIFICATIONS:
Strong verbal and written communication skills
Quality and service-oriented demeanor
Effective listening and organizational skills
Demonstrate sound decision-making
Self-motivation, initiative, ability to handle multiple priorities and meet strict deadlines
Proficient computer skills (E.g., Microsoft Word, email management, Internet use, etc.)
Strong navigational skills with multiple systems and current knowledge of technology
Personal commitment to high quality performance through integrity, accountability, compassion, and teamwork
Ability to provide customer service designed to meet the customer’s needs, showing empathy and the ability to apply reasonableness
EDUCATION/RELEVANT EXPERIENCE:
High school diploma or equivalent
BS/BA degree preferred or equivalent work experience
2-3 years customer service experience
JOIN OUR TEAM TO ENJOY:
Earn a $1,500 salary increase! You will be eligible upon successful completion of your training provided you are in good standing at the time.
Recognition and rewards for high-performance and improvement
Internal career pathing with individual mentorship, networking and events
Employee resource groups for employees with shared backgrounds or the desire to learn more about their colleagues. All are welcome at our ERGs!
A dynamic work environment that keeps you thinking!
Best in class health, wellness, and retirement benefits among many others!
Performance based annual bonuses
Generous paid vacation time
If interested, you can expect an email within one day of application to begin the hiring process by taking an online assessment in the comfort of your home. If you think you have what it takes, take the plunge and apply today!
#LI-DNI
Minimum Education Requirements:
High school degree or equivalent required unless otherwise noted above
Location Hingham Time Type Full time
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. We provide a flexible hybrid work model in which roles are designated as resident (on site 4-5 days/week), mobile (on site 1-3 days/week), or eworker (on site 0-3 days/month).
Blue Cross Blue Shield of Massachusetts, has a COVID-19 vaccination requirement for building entry. Your offer of employment is dependent upon either being fully vaccinated for COVID-19 or an accommodation based on a disability or sincerely held religious belief, practice, or observance by submitting a request to Human Resources.
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