Independence Blue Cross · 4 months ago
Issue Resolution Specialist
Philadelphia, Pennsylvania
Full-time
Hybrid
Mid Level
3+ years expIndependence Blue Cross is seeking an Issue Resolution Specialist to join their Operations team. The successful candidate will be responsible for investigating inquiries, ensuring accurate research and timely resolutions, and providing regular status updates on outstanding tasks.
Health CareHealth InsuranceInsuranceMedical
Responsibilities
Ability to apply initial training concepts while demonstrating the ability to learn new concepts
Perform daily investigation of inquiries
Provides regular status reports on all outstanding tasks
Ensure all Inquiries are researched accurately and resolved timely per department guidelines
Monitor each inquiry and follow up regularly and timely as needed
Escalate issues as they arise to management (lead and/or above) for communication to clients or partners
Interact with all internal and external partners across multiple related departments as needed
Identify, track, and report specific trends and issues related to inquiries and system issues
Coordinate with Sr, Lead and/or Supervisor on resolution of inquiries
Acknowledges each piece of mail and responds to written inquiries either by telephone or letter in a professional manner
Effectively resolve all internal requests from diverse areas (via Service Now requests) as directed by Sr and Lead and/or management
May perform other duties as required by management
Ability to work from home, which includes wi-fi capability and a quiet, confidential workspace
Ability to work most holidays, flexibility between hours of 8am-6pm and ability to work overtime as needed including weekend and holidays
Qualification
Required
Ability to apply initial training concepts while demonstrating the ability to learn new concepts
Perform daily investigation of inquiries
Provides regular status reports on all outstanding tasks
Ensure all Inquiries are researched accurately and resolved timely per department guidelines
Monitor each inquiry and follow up regularly and timely as needed
Escalate issues as they arise to management (lead and/or above) for communication to clients or partners
Interact with all internal and external partners across multiple related departments as needed
Identify, track, and report specific trends and issues related to inquiries and system issues
Coordinate with Sr, Lead and/or Supervisor on resolution of inquiries
Acknowledges each piece of mail and responds to written inquiries either by telephone or letter in a professional manner
Effectively resolve all internal requests from diverse areas (via Service Now requests) as directed by Sr and Lead and/or management
Ability to work from home, which includes wi-fi capability and a quiet, confidential workspace
Ability to work most holidays, flexibility between hours of 8am-6pm and ability to work overtime as needed including weekend and holidays
Knowledge of self-funded health insurance products, Ancillary products, (e.g. Dental, Vision, Prescription), the Affordable Care Act, HIPAA laws, and relevant state laws and regulations
Ability to think critically and resolve problems
Strong attention to detail and the ability to excel in a high paced environment
Proficient with Microsoft Excel, Access, Word, and Outlook
Good listening, written and verbal communication skills
Ability to multitask and prioritize activities
Minimum of 3 - 5 years working within Self-Funded Billing, or Accounts receivable, or Claims, or Enrollment, or Enrollment reconciliation, or Customer Service within the Healthcare industry
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app
Preferred
Associate degree in a Business-related field or equivalent work experience preferred
Plan to plan experience is a plus
Company
Independence Blue Cross
The leading health insurer in southeastern Pennsylvania. It is a sub-organization of Independence Blue Cross.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Alexandra Jorgensen
Senior Vice President Human Resources
Joe Geist
SVP & Market President, National
Recent News
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