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Blue Cross NC · 2 days ago

Intake Specialist

United States

Full-time

Remote

Mid Level

$42K/yr - $67K/yr

3+ years exp

Blue Cross NC is a health organization seeking an Intake Specialist to process a variety of internal and external member/provider requests and transactions. The role involves ensuring accuracy in requests, supporting customers, and maintaining service requests while complying with timeliness standards.

Financial ServicesHealth InsuranceInsurance

Comp. & Benefits

H1B Sponsor Likely

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

Customer ServiceData EntryClinical ReviewInquiry HandlingTime Management

Required

High school diploma or GED

3+ years of experience in related field

Benefits

Medical, dental, and vision coverage along with numerous health and wellness programs

Parental leave and support plus adoption and surrogacy assistance

Career development programs and tuition reimbursement for continued education

401k match including an annual company contribution

Company

Blue Cross NC

Glassdoor4.1

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way.

Founded in 1933

Durham, North Carolina, USA

5001-10000 employees

https://www.bluecrossnc.com/

H1B Sponsorship

Blue Cross NC has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (4)

2024 (1)

2023 (2)

2022 (5)

2021 (13)

2020 (5)