Intake Specialist

Job Description:

• Process requests, inquiries, and transactions via phone, email, fax, and mail
• Review requests for accuracy
• Support internal and external customers via phone or email
• Document call/inquiry information and attach supporting information
• Route unresolved issues to the appropriate area for follow-up
• Gather and analyze data to provide feedback on employee development needs and providers requiring education
• Screen inquiries to determine whether authorization is required
• Verify member benefits, eligibility, and provider setup
• Maintain and update service requests
• Research incorrect or missing information
• Triage and assign incoming inquiries to appropriate staff
• Perform monthly peer audits
• Provide clinical review outcome notifications to members and providers verbally and in writing

Requirements:

• High school diploma or GED
• 3+ years of experience in a related field
• Prior telephone-based customer service experience strongly preferred
• Familiarity with and understanding of medical terminology is a plus
• At this time, Blue Cross NC will not sponsor employment authorization for this position

Benefits:

• Work-life balance, flexibility, and autonomy
• Medical, dental, and vision coverage
• Health and wellness programs
• Parental leave and support
• Adoption and surrogacy assistance
• Career development programs
• Tuition reimbursement for continued education
• 401(k) match including an annual company contribution
• Annual Incentive Bonus
• Paid Time Off (PTO)