We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .
Intake Specialist
Location
United States
Posted
4 days ago
Salary
$41.6K - $66.6K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Intake Specialist
Blue Cross and Blue Shield of North Carolina
Role Description Based on established guidelines, the Intake Specialist processes 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 role is designated as Remote Flex – no standard weekly in-person onsite expectations. There may be opportunities to meet on campus up to 2 times per year. What You’ll Do - Process a variety of requests, inquiries and transactions via phone, email, fax, and mail - Review requests to ensure accuracy - Support internal & 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 to appropriate area for 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 to determine if authorization is required - 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 in a timely, efficient manner throughout the day to appropriate staff - Provide clinical review outcome notification to members and providers (verbal and written) Qualifications - High school diploma or GED - 3+ years of experience in related field Requirements - Prior call center experience, strongly preferred - Excellent verbal and written communication skills Benefits - Annual Incentive Bonus* based on annual corporate goal achievement and individual performance - 401(k) with employer match - Paid Time Off (PTO) - Competitive health benefits and wellness programs Salary Range $41,600.00 - $66,561.00 Job Alert Fraud We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .
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