Manager of Membership & Billing

BlueCross BlueShield of South Carolina•Columbia, SC

12d•Onsite

About The Position

Manages claims and customer service areas. This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 17 Technology Circle, Columbia SC. Sponsorship: This position is not eligible for sponsorship now or in the future.

Requirements

Bachelor’s Degree
4 years job related work experience OR Associate's and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree required.)
3 years of insurance experience in claims or appeals processing and customer service.
1 year of supervisory/team lead experience OR 1 year of equivalent military experience in grade E4 of above.
Strong oral and written communication and organizational skills.
Excellent customer service skills.
Good judgment.
Ability to persuade, negotiate, or influence.
Proficient spelling, punctuation, and grammar.
Microsoft Office.

Nice To Haves

5 years-of insurance operations experience
2 years-of supervisory/team lead experience OR 2 years of equivalent military experience in grade E4 or above (may be concurrent).
Proven Leadership Experience.
Strong written and verbal communication skills, with the ability to clearly explain expectations, process changes, and priorities to staff and leadership.
People Management and Coaching.
Demonstrated project management and presentation skills.
Basic business math skills.
Knowledge of membership and billing systems.
Demonstrated ability to lead teams through operational change from planning through implementation.
Experience documenting, organizing, and maintaining operational processes, procedures, and workflows.
Demonstrated ability to organize team workloads, monitor follow-through, and ensure timely execution of assigned work.
Experience identifying process gaps and implementing practical improvements to improve quality, timeliness, or consistency.

Responsibilities

Manages staff responsible for providing excellent customer service and timely and accurate processing of claims or appeals.
Ensures department standards for production, timeliness, and quality are met.
Prepares and reviews management reports.
Monitors monthly reports to ensure department standards for production, timeliness, and quality are met.
Makes recommendations for process improvements.
Maintains effective relationships with internal and external customers by assisting with inquiries and resolving issues.