Independence Blue Cross · 2 weeks ago
Issue Resolution Specialist
Philadelphia, Pennsylvania
Full-time
Hybrid
Mid Level
3+ years expIndependence Blue Cross is seeking an Issue Resolution Specialist to tackle complex challenges and enhance the customer experience. In this role, you will investigate and resolve inquiries, collaborate with cross-functional teams, and drive continuous improvement in healthcare operations.
Health CareHealth InsuranceInsuranceMedical
Responsibilities
Lead Complex Investigations: Dive deep into inquiries, identify root causes, and develop holistic solutions that prevent recurrence. Your analytical mindset will be key to untangling challenging scenarios and delivering results that matter
Drive Continuous Improvement: Spot trends, report systemic issues, and recommend process enhancements. Your insights will help us evolve and stay ahead in a rapidly changing industry
Collaborate Across Teams: Work closely with internal and external partners, including management, sales, claims, billing, and client representatives, to resolve issues efficiently and share knowledge
Communicate with Impact: Provide clear, professional updates to stakeholders, ensuring transparency and trust throughout the resolution process
Champion the Client Experience: Respond to inquiries with empathy and urgency, always striving to exceed expectations and strengthen relationships
Embrace Innovation: Leverage technology and best practices to streamline workflows and enhance service delivery
Qualification
Required
3–5 years of experience in self-funded billing, accounts receivable, claims, enrollment, reconciliation, or customer service within the healthcare industry
Proficient in Microsoft Excel, Access, Word, and Outlook
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app
Preferred
Associate's degree in a business-related field or equivalent work experience
Experience with self-funded health insurance products, ancillary benefits, and regulatory requirements (ACA, HIPAA, state laws)
Benefits
Purposeful Work: Make a tangible difference for clients and members every day.
Growth & Learning: Expand your expertise through continuous training, exposure to complex cases, and opportunities to innovate.
Supportive Culture: Join a team that values initiative, diversity of thought, and collaboration.
Flexibility: Enjoy remote work options and a culture that supports work-life balance.
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
Home Health Care News
2026-01-14
Company data provided by crunchbase