Blue Cross and Blue Shield of Vermont is looking for a Research Specialist to join their Inter-Plan Programs team. The role involves providing high-quality information to resolve customer inquiries and maintaining relationships between the Plan and its customers while ensuring confidentiality of member and provider information.
Responsibilities
- Responsible for a high level of quality by providing information and or initiating appropriate corrective actions to resolve a customer’s inquiry based on a thorough and comprehensive understanding of BCBSVT contracts, policies, systems and procedures
- Maintain relationships between the Plan and its customers
- Work with all levels of expertise including provider billing clerks to provider business managers, other BCBS plans as well as our subscribers and members
- Work closely with other business units to address customer concerns and communicate feedback to our customers
- Accurate and timely interpretations of the Plan policies and procedures while maintaining the absolute confidentiality of member and provider information
Skills
- High school graduation or equivalent is required
- A minimum of 1-3 years customer service or claims processing experience in a healthcare or health insurance setting is required
- Two year college degree is preferred
- Experience in a provider's billing office is preferred
Benefits
- Health insurance (including vision)
- Dental coverage (free to employees)
- Wellness Program
- 401(k) with employer match + automatic employer contribution
- Life Insurance
- Disability Insurance
- Combined time off (CTO) – 20 days per year + 10 paid holidays
- Tuition Reimbursement
- Student Loan Repayment
- Dependent Caregiver Benefits
Company Overview
Located on a scenic hillside in the central Vermont community of Berlin, Blue Cross and Blue Shield of Vermont has been a primary part of Vermont’s health care system for more than 30 years, providing thousands of Vermonters with health benefits and services. It was founded in 1941, and is headquartered in Washington, Vermont, USA, with a workforce of 201-500 employees. Its website is http://www.bcbsvt.com.
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