Blue Cross NC · 21 hours ago

Intake Specialist

Remote - North Carolina

Full-time

Remote

Mid Level

$42K/yr - $50K/yr

3+ years exp

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Comp. & Benefits

Insider Connection @Blue Cross NC

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

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

Perform Peer Audits monthly as required

Provide clinical review outcome notification to members and providers (verbal and written)

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Data EntryCustomer SupportData AnalysisBenefit VerificationPeer Audits