Cust Svc Rep II Job Vacancy in Blue Cross Blue Shield of Michigan Detroit, MI – Latest Jobs in Detroit, MI
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Company Name : Blue Cross Blue Shield of Michigan
Location : Detroit, MI
Position : Cust Svc Rep II
Job Description : 4th Posting Date Posted Internal – 3/7/22, Deadline Date 3/14/22
3rd Posting Date Posted Internal – 2/17/22, Deadline Date 2/24/22
2nd Posting Date Posted Internal – 2/10/22, Deadline Date 2/16/22
Non-Exempt/Bargaining Unit Posting
Local/Seniority Unit – 1781/3211
Date Posted Internal – 1/28/22, Deadline Date – 2/4/22
Department – 150640 Pharmacy Help Desk Mail Order
Salary Grade – UK
Job Code – X408R
Number of openings – 1
Shift – 8:00am-4:30pm (shift bidding process based on seniority)
Site/Location: Detroit, MI
Status – Regular Full Time
Evaluates, and resolves inquiries involving a variety of claim, benefit, membership, and/or billing inquiries. Must be able to pass the Customer Service selection process, in order to interview.
Conducts internal and external research to determine and request the data needed to handle inquiries from internal and external business partners.
Provides accurate and timely servicing responses via telephone, and/or written correspondence to our internal and external customers.
Follows department/corporate reporting policies and procedures requirements.
Organizes work to meet productivity and quality standards.
Reroutes misdirected inquiries.
Interacts with others inside and outside the organization to resolve the inquiry/claim related problems.
Resolves customer inquiries through clear and simple explanations of the applicable policy and/or procedure.
May assist less experienced Customer Service Representatives and handle unusual or urgent inquiries, including irate calls.
Perform other related duties as assigned.
Qualifications
High school graduate or GED equivalent is required.
Two (2) years of related work experience in areas such as public/customer service, sales representatives claims processing, membership/billing/enrollment; and one (1) year of customer service experience in positions such as teaching, social service work, bank teller, medical assistant/office assistant, retail.
Three (3) years of total related experience or in the absence of internal BCBSM experience, the following may apply: A total of three (3) years of related work experience in areas such as public/customer service, sales representative, claims processing, enrollment/membership, or billing processing. Eighteen (18) months as an Account Clerk IV in Group Billing/Direct Billed/Auto National Membership and Support Departments.
Demonstrated knowledge of policies, practices and procedures related to membership, billing, contract coverage or changes, rating and eligibility requirements, and/or claims processing.
Demonstrated ability to resolve inquiries related to benefits, claims processing, and/or membership/billing, with little or no assistance.
Demonstrated command of all oral, written, and interpersonal skills necessary for communications with subscribers, beneficiaries, accounts or providers, in a clear, concise and tactful manner.
Work experience requirements may be modified within the three (3) year total, to fit individual unit needs. Must be able to pass the Customer Service selection process.
Employees shall meet a twenty-four (24) month tenure requirement, excluding training.
Other related skills and/or abilities may be required to perform this job. ( Must have eSD/RxClaims Systems Knowledge and Experience)
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
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