Member Service Representative I (Remote)

Set of working responsibilities

Resp and Capabilities

Reason: The Rep, Part Administration I is capable in routine advantages, claims, and general requests. They have an overall information on the accompanying: frameworks, benefits, contracts/items, elements of different divisions in the organization, standard working systems, claims status, enlistment/charging and follow-up to a client request.

Fundamental Capabilities
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Responds to part requests by explaining wanted data; exploring, finding, and giving data. Settle part administration issues by explaining issues; investigating and investigating answers and elective arrangements; carrying out arrangements; raising annoying issues.

Inspects cases to distinguish key components, and handling prerequisites in light of finding, methods, supplier, clinical approach, agreements, and strategy and techniques. Computes deductibles, maximums, and deciding settling, revealing, and totally finishing excessive charges, underpayments, and oversaw care processes.

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Learns and executes enlistment exchanges as per legally binding and clinical endorsing rules, creating precise charging for strategies and items bought by new clients, existing clients, and moves from other BCBS Plans. Learns the subtleties of offering and overseeing different charging exchanges, for example direct compensation, Mastercard installment, and charge bookkeeping through the policyholders financial records, and how to successfully associate with or exhort clients, bunch executives, agents, or suppliers on issue goal.

Distinguishes clients who are qualified or needing oversaw care mediations and teams up with the clinical experts in planning and executing the intercession.

Capabilities: Instruction Level: Secondary School Recognition or GED. Experience: 1 year client support, claims insight, Inbound Call Community Experience.

Favored Capabilities:

Experience performing obligations that are point by point in nature, openness to medical services, health care coverage, clinical data, and direct assistance experience is liked.
Information, Abilities and Capacities (KSAs)
Self-starter with solid authoritative abilities and arranging abilities.
Capacity to keep up with compelling relational connections.
Capacity to perceive, examine, and take care of various issues.
Fantastic relational abilities both composed and verbal.
Keeps up with quality client administrations by following client support works on; answering client requests.

Pay Reach: $29,664 – $54,384

Pay Reach Disclaimer

The revealed range gauge has not been adapted to the appropriate geographic differential related with the place where the work is being performed. This remuneration range is explicit and considers factors, for example, (yet not restricted to) the degree and responsibilites of the position, the applicant’s work insight, schooling/preparing, inward companion value, and market and business thought.

It isn’t commonplace for a person to be employed at the highest point of the reach, as remuneration choices rely upon each case’s realities and conditions, including however not restricted to encounter, inside value, and area. Notwithstanding your pay, CareFirst offers an extensive advantages bundle, different motivating force programs/plans, and 401k commitment programs/designs (all advantages/motivators are dependent upon qualification prerequisites).

Division

IT and Busi Backing Contact Penn

Equivalent Work An amazing open door

Care First Blue Cross Blue Shield is an Equivalent Open door (EEO) manager. It is the approach of the Organization to give equivalent work chances to all certified candidates regardless of race, variety, religion, sex, sexual direction, orientation personality, public beginning, age, safeguarded veteran or impaired status, or hereditary data.

Where To Apply

If it’s not too much trouble, visit our site to apply: www.carefirst.com/vocations

Government Plate/Actual Interest

Note: The occupant is expected to quickly uncover any debarment, prohibition, or other occasion that makes him/her ineligible to perform work straightforwardly or by implication on Government medical services programs.

Actual Requests:

The partner is fundamentally situated while playing out the obligations of the position. Periodic strolling or standing is required. The hands are routinely used to compose, type, key and handle or feel little controls and articles. The partner should much of the time talk and hear.

Loads as much as 25 pounds are at times lifted.

Sponsorship in US

Should be qualified to work in the U.S. without Sponsorship

Caseworker – 100 percent Remote,BlueCross BlueShield of Tennessee, Anyplace ,through LinkedIn,Manages part care and progress for cases with various degrees of chance.