BCBS Customer Support Jobs (Work From Home) – Apply Now
Hiring Organization:- BCBS
Post Name:- Member Service Representative I
Qualifications:- Bachelor Degree
Industry:- Private
Employment Type:- Full Time
Work Hours:- 8 Hours
Salary:- $35-$40/Year
Locations:- USA
Full Job Description:
The Part Administration I Delegate 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 methods, claims status, enlistment/charging and follow-up to a client request.
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Fundamental Capabilities:
- Responds to part requests by explaining wanted data; investigating, finding, and giving data. Settle part administration issues by explaining issues; investigating and investigating answers and elective arrangements; carrying out arrangements; heightening irritating issues.
- Analyzes cases to recognize key components, and handling necessities in view of conclusion, methods, supplier, clinical approach, agreements, and strategy and systems. Works out deductibles, maximums, and deciding settling, revealing, and completely finishing excessive charges, underpayments, and oversaw care processes.
- Learns and executes enlistment exchanges as per authoritative and clinical guaranteeing rules, creating exact charging for approaches and items bought by new clients, existing clients, and moves from other BCBS Plans. Learns the subtleties of offering and regulating different charging exchanges, for example direct compensation, Mastercard installment, and charge bookkeeping through the policyholders financial records, and how to really collaborate with or exhort clients, bunch overseers, agents, or suppliers on issue goal.
- Distinguishes clients who are qualified or needing oversaw care mediations and works together with the clinical experts in planning and executing the intercession.
Favored Capabilities:
- Experience performing obligations that are point by point in nature, openness to medical care, 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 viable relational connections.
- Capacity to perceive, investigate, and take care of various issues.
- Astounding relational abilities both composed and verbal.
- Keeps up with quality client administrations by following client care works on; answering client requests.
- Should have the option to fulfill laid out time constraints and handle various client care requests from interior and outer clients, inside set assumptions for administration greatness. Should have the option to really convey and give positive client assistance to each inside and outside client, including clients who might be requesting or generally testing.
BCBS Customer Support Jobs (Work From Home) – Apply Now
