Customer Service Advocate II Part Time 11-3-3
- BlueCross BlueShield of South Carolina
- Florence, SC
- 16 days ago
Job Description
Summary
Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description
Logistics:
- This a part-time position.
- Work and training Hours will be discussed at interview.
- This position is located onsite at 200 North Dozier Boulevard, Florence, SC 29501.
- To work from home, you must have high-speed internet service (non-satellite) and a private home office.
- Work hours will between the hours of 8am and 8pm.
What You'll Do:
- Researches and responds to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met.
- Research and respond to written inquiries and identify incorrectly processed claims and completes the adjustment and/or reprocessing action according to department guidelines. This may include initiating, documenting, and processing the request to completion. Initiate recoupments as necessary.
- Identifies complaints and inquiries of a complexity level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential fraud and abuse situations.
- Completes projects and/or assignments related to claims processing and customer service functions in the department.
To Qualify for This Position, You'll Need:
- High School Diploma or equivalent.
- Good verbal and written communication skills.
- Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency.
- Ability to handle confidential or sensitive information with discretion.
- Microsoft Office.
- The ability to work in a typical office environment.
We Prefer That You Have:
- 2 years of customer service experience OR 1 year of claims or appeals processing experience and 1 year of customer service experience OR Bachelor's Degree in lieu of work experience.
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with the most qualified candidates.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
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Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.