Research Specialist

BlueCross BlueShield of Vermont•Berlin, VT

2d•$18 - $21•Hybrid

About The Position

Blue Cross and Blue Shield of Vermont is looking for a Research Specialist to join our Inter-Plan Programs team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced and flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401K, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

Requirements

High school graduation or equivalent is required. Two year college degree is preferred
A minimum of 1-3 years customer service or claims processing experience in a healthcare or health insurance setting is required.

Nice To Haves

Experience in a provider’s billing office is preferred.

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.