Research Specialist jobs in United States
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Blue Cross and Blue Shield of Vermont · 1 day ago

Research Specialist

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, maintaining relationships with customers, and ensuring accurate interpretations of policies and procedures while protecting confidentiality.

Health CareNon Profit
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Comp. & Benefits

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

Qualification

Customer service experienceClaims processing experienceHealthcare knowledgeProvider billing experienceCommunication skills

Required

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

Preferred

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

Blue Cross and Blue Shield of Vermont

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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.

Funding

Current Stage
Growth Stage

Leadership Team

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Ruth Greene
VP, Treasurer & CFO
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Margaret Pinello-White, SHRM-SCP
Vice President & Chief Administrative Officer
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Company data provided by crunchbase