[Hiring] Service Representative @Blue Cross Blue Shield of Massachusetts

Role Description

Ready to help us transform healthcare? Bring your true colors to blue. BCBSMA is hiring Dental Provider Service Representatives for our elite Dental Provider Services Division! We are seeking results-driven Dental Provider Service Representatives to join our fast-paced inbound call center.

• Resolve dental provider inquiries regarding claims, eligibility, and benefits via phone.
• Respond to provider claims processing inquiries, timely filing, account receivables, questions on corporate and dental policies and guidelines, and benefit-related issues.
• Represent Dental Provider Service in a positive and professional manner through appropriate telephone techniques and documentation.
• Work in a structured inbound service center environment.

Qualifications

• Minimum HS Diploma or GED is required.
• At least 1 year experience working in a direct contact, customer service environment preferred.
• Stellar attendance and punctuality.
• Call Center experience, highly desired.
• Strong verbal and written communication skills in addition to being a team player are a must.
• Self-motivated with strong organizational and multi-tasking abilities.
• Ability to provide service designed to meet the customer’s needs, showing empathy and reasonableness.
• Personal commitment to high quality performance through integrity, accountability, compassion, and teamwork.
• Proficient computer skills (e.g., Microsoft Word, email management, Internet use).
• Strong navigational skills with multiple systems and current knowledge of technology.

Requirements

• Assess, identify, and resolve provider and/or partner internal inquiries in a timely and professional manner.
• Resolve provider inquiries within departmental quality and business metric goals.
• Research and handle complex requests with effective follow-up.
• Review and manage personal inventory, including aged inquiries.
• Communicate clearly and concisely to providers, peers, and all levels of leadership.
• Contribute to the achievement of divisional and corporate goals.
• Comply with corporate, division, and team policies and guidelines.
• Educate providers on electronic technology and track trends for process improvements.
• Continually develop telephone techniques and research skills through self-assessment and constructive feedback.
• Monitor performance indicators in relation to individual, team, and divisional goals.
• Participate in workgroups and attend meetings to represent the division as required.
• Share innovative and creative solutions that result in increased levels of provider satisfaction.
• Foster a team-based environment by participating in various activities that lead to Associate support and provider satisfaction.

Benefits

• Opportunities for continued salary growth as skills progress.
• Annual raise/bonus based on performance.
• Competitive Pay, Benefits, 401K & More!
• Daytime Work Hours: Monday-Friday 8:30AM-4:30PM.
• No weekends or holidays!
• 3 Weeks Vacation Time + Wellness Time + Personal Days.
• Professional development & career opportunities at BCBSMA after 15 months of service.
• The role is eligible for E-worker, Resident & Mobile personas.