Service Representative - Provider Services

Blue Cross Blue Shield of Massachusetts • Hingham, MA

1d • Hybrid

About The Position

At Blue Cross Blue Shield of Massachusetts, the company's promise is to always put members first, with a mission for the relentless pursuit of quality, affordable, and equitable healthcare with an unparalleled consumer experience. As a Provider Service Representative, this role is at the heart of the consumer experience and a critical team member supporting this mission. The position involves resolving telephone and written Provider claims-related service inquiries, and responding to Provider's benefit-related issues and questions, including corporate policies and guidelines, timely filing, account receivables, and claims processing. Provider Service Representatives work in a structured, supportive, fast-paced, and unscripted service center environment. New hires will be enrolled in a phased training program to learn about the health insurance industry and develop skills and knowledge for a successful career. The role is scheduled for 37.5 hours/week, with shifts from 8:30am EST to 4:30pm EST, including during training. Supportive remote-working opportunities are offered.

Requirements

• Committed to answering Provider’s questions and solving their inquiries
• Curious, committed to learning and gathering information
• Effective communicators and able to translate complicated concepts into simple terms
• Proactive, solution-oriented decision makers
• Planners, multi-taskers, and expert problem solvers
• Analytical and critical thinkers – able to anticipate and address future needs
• Able to multitask and thrive in a fast-paced, high-pressure environment
• High school diploma or equivalent required
• 1+ years customer service experience where you are frequently communicating (minimum 60% of time) with customers by phone, email, and/or in person
• Strong familiarity and comfort with technology, including Microsoft Office applications, and an ability to quickly learn and adapt to new tools and software.

Nice To Haves

• Experience in fast-paced, unscripted service-first environments highly preferred

Responsibilities

• Resolve telephone and written Provider claims-related service inquiries.
• Respond to our Provider’s benefit-related issues and questions, including but not limited to corporate policies and guidelines, timely filing, account receivables, claims processing, etc.
• Represent the Provider Services team in a positive and professional manner through appropriate telephone techniques and written responses.
• Spend most of each week taking calls with providers.
• Dedicate specific time to learning and development, and research in support of career growth and development.

Benefits

• Best in class health, wellness, tuition reimbursement, and 401(k) retirement benefits
• Paid holidays, vacation, personal, and wellness time
• Internal career pathing with individual mentorship, networking and events
• Access to internal career growth opportunities
• Invitation to join and participate in Employee Resource Groups
• Comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees
• Annual raise/bonus based on your performance and the performance of the company
• Eligibility for a salary increase upon successful completion of training
• Eligibility for increases after completion of specified milestones as outlined in Provider Service progression model

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees