Research Specialist

๐ŸŒ Remote, USA ๐Ÿš€ Full-time ๐Ÿ• Posted Recently

Job Description

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 customerโ€™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) โ€“ 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 Vermontโ€™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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