Resp & Qualifications
SUMMARY:
Creates and promotes a team environment for Customer Service Representatives and Enrollment & Billing Reps {& Claims Processors} that supports and facilitates the delivery of superior customer service to both internal and external clients. This position contributes to the goals and objectives of the business unit through planning and representing the team’s needs and interests to other departments.
ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited to, the following:
Under the general direction of the Manager of Service or Claims or Enrollment & Billing:
1. Coaches, counsels and motivates associates (concentrating on associate development) to increase quality and production while helping to achieve positive results. Reviews daily audit results and adjustments to ensure quality and accurate claims payment. Provides input and makes recommendations on hiring decisions and completes performance appraisals.
2. Analyzes current policies and operating procedures/conditions (including workflow management, performance management, inventory management, maintaining communications with other areas within the organization), and makes recommendations for implementing modifications that remain within the standards and policies of CareFirst in order to provide the most efficient and optimum client service.
3. Develops logical and accurate reports to management regarding inventories, inquiries, correspondence, cases and other pertinent information in order to provide necessary information for management of workflow. Provides assistance with product marketing and sales efforts of respective business units in order to increase market share.
4. Other projects and duties as assigned to assist in company, divisional, and/or departmental goals.
QUALIFICATION REQUIREMENTS:
EXPERIENCE:
This position requires 3-5 years of supervisory experience. Extreme proficiency within the claims and service operational unit is required. Must have some project management experience.
SKILLS/ ABILITIES:
Must also have strong analytical and problem resolution skills, strong communication/presentation skills, interpersonal/leadership skills, project management skills, and be able to motivate. 3+ years PC skills or related technical skills also required.
PREFERRED
Department
Department:FEP PROVIDER SERVICE UNIT
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Closing Date
Please apply before: 3/13/2019
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
PHYSICAL DEMANDS:
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
