Member Services Representative Level 1
Casper, WY Casper, WY Full-time Full-time Estimated:
$33.
5K - $42.
4K a year Estimated:
$33.
5K - $42.
4K a year 6 days ago 6 days ago 6 days ago Job Description
Summary:
Job Description:
GENERAL PURPOSE Handles inquiries by telephone and/or email from providers in a customer service center.
Troubleshoots and resolves provider complaints.
Ensures that responses to inquiries are completed timely and according to established service and quality standards.
ESSENTIAL DUTIES/RESPONSIBILITIES Core 25d Works toward quality initiatives.
Resolves provider inquiries and complaints via written and/or telephonic communication in a timely and accurate manner.
Records all inquiries into the computer system for a permanent record.
Initiates adjustments for services not properly processed by forwarding to appropriate area.
Utilizes and understands computer screens to provide accurate answers.
Works closely with co-workers when necessary to research answers to inquiries.
Elevates issues to next level as appropriate.
Strives to resolve provider concerns in a single interaction.
Meets all production, quality and adherence standards.
Attends all required training sessions.
Other duties as assigned.
OTHER DUTIES/RESPONSIBILITIES As needed:
handles telephone monitor, switchboard and front desk.
SUPERVISORY DUTIES None JOB QUALIFICATIONS KNOWLEDGE, SKILL & ABILITY:
Core 25b Must possess good telephone skills Must be able to comprehend and explain BCBS contract language Must be able to comprehend provider contract language.
Demonstrates good organizational and time management skills with strong communication skills Is able to deal with demanding, stressful situations EDUCATION, LICENSURE, OR FORMAL TRAINING:
Core 25a & 25c High school degree or equivalent.
Company will provide job related training pertaining to company unique information.
Experience:
Core 25a Prior Customer Service experience is preferred.
MATERIAL AND EQUIPMENT DIRECTLY USED:
Computer, telephone, fax machine WORKING ENVIRONMENT/PHYSICAL ACTIVITIES:
Works in Member Call Center sitting at desk for entire work day.
Must man phones with periodic relief.
ACCESS TO PROTECTED HEALTH INFORMATION (PHI) Access to PHI is broad due to job function requirement of responding to customer inquiries relative to claims payments, eligibility, contract benefits and other inquiries.
Blue Cross Blue Shield of Wyoming is an EOE, M/F/Vet/Disabled employer.
Blue Cross Blue Shield of Wyoming uses E-Verify to confirm employment eligibility.
Equal Opportunity is the Law EEO is the Law Supplement IER Right to Work FMLA E-Verify Pay Transparency.
Estimated Salary: $20 to $28 per hour based on qualifications.
$33.
5K - $42.
4K a year Estimated:
$33.
5K - $42.
4K a year 6 days ago 6 days ago 6 days ago Job Description
Summary:
Job Description:
GENERAL PURPOSE Handles inquiries by telephone and/or email from providers in a customer service center.
Troubleshoots and resolves provider complaints.
Ensures that responses to inquiries are completed timely and according to established service and quality standards.
ESSENTIAL DUTIES/RESPONSIBILITIES Core 25d Works toward quality initiatives.
Resolves provider inquiries and complaints via written and/or telephonic communication in a timely and accurate manner.
Records all inquiries into the computer system for a permanent record.
Initiates adjustments for services not properly processed by forwarding to appropriate area.
Utilizes and understands computer screens to provide accurate answers.
Works closely with co-workers when necessary to research answers to inquiries.
Elevates issues to next level as appropriate.
Strives to resolve provider concerns in a single interaction.
Meets all production, quality and adherence standards.
Attends all required training sessions.
Other duties as assigned.
OTHER DUTIES/RESPONSIBILITIES As needed:
handles telephone monitor, switchboard and front desk.
SUPERVISORY DUTIES None JOB QUALIFICATIONS KNOWLEDGE, SKILL & ABILITY:
Core 25b Must possess good telephone skills Must be able to comprehend and explain BCBS contract language Must be able to comprehend provider contract language.
Demonstrates good organizational and time management skills with strong communication skills Is able to deal with demanding, stressful situations EDUCATION, LICENSURE, OR FORMAL TRAINING:
Core 25a & 25c High school degree or equivalent.
Company will provide job related training pertaining to company unique information.
Experience:
Core 25a Prior Customer Service experience is preferred.
MATERIAL AND EQUIPMENT DIRECTLY USED:
Computer, telephone, fax machine WORKING ENVIRONMENT/PHYSICAL ACTIVITIES:
Works in Member Call Center sitting at desk for entire work day.
Must man phones with periodic relief.
ACCESS TO PROTECTED HEALTH INFORMATION (PHI) Access to PHI is broad due to job function requirement of responding to customer inquiries relative to claims payments, eligibility, contract benefits and other inquiries.
Blue Cross Blue Shield of Wyoming is an EOE, M/F/Vet/Disabled employer.
Blue Cross Blue Shield of Wyoming uses E-Verify to confirm employment eligibility.
Equal Opportunity is the Law EEO is the Law Supplement IER Right to Work FMLA E-Verify Pay Transparency.
Estimated Salary: $20 to $28 per hour based on qualifications.
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