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Membership Account Specialist

BlueCross BlueShield of Tennessee • Remote • Posted 7 days ago

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Remote • Full-time • Entry Level

Job Highlights

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The Membership Account Specialist at BlueCross BlueShield of Tennessee is responsible for implementing filing and documentation procedures, maintaining physical and electronic files, communicating with underwriters, agents, and specialists to exchange policy and case information, and processing policies and cases according to department procedures. This role requires a high school diploma or equivalent, 1 year of experience in the healthcare industry, and proficiency in Microsoft Office and communication skills.

Responsibilities

  • Implementing appropriate filing and documentation procedures; maintaining all physical and electronic files in current and accurate condition.
  • Communicating with underwriters, agents, loss control specialists or any others to both receive and pass on all relevant policy and case information; utilizing information to improve services, anticipate and prevent problems, or suggest improvements.
  • Meeting assigned quality and work load expectations; implementing revisions or improvements to procedures, as necessary. Ensure all production, timeliness, and quality standards are met.
  • Processing assigned policies and cases according to department procedures and expectations; responding to complaints and inquiries, identifying and resolving difficulties in membership and benefits services.

Qualifications

Required

  • High School Diploma or equivalent
  • 1 year experience in the healthcare industry
  • Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
  • Proficient oral and written communication skills
  • Proficient interpersonal and organizational skills

Preferred

  • Shared Health experience

About BlueCross BlueShield of Tennessee

BlueCross BlueShield of Tennessee (BCBST) is a prominent health insurance provider in the United States, offering medical, dental, and vision plans for employers, individuals, and families. Operating for over 70 years, BCBST is headquartered in Chattanooga, Tennessee, with a strong focus on providing affordable and comprehensive health insurance coverage to its 3.5 million members in Tennessee and across the nation. Through partnerships and innovative programs like Shared Health, BCBST strives to improve healthcare coordination and patient outcomes while adapting to the changing healthcare landscape to enhance member experience.

Full Job Description

**Job Responsibilities**

+ Implementing appropriate filing and documentation procedures; maintaining all physical and electronic files in current and accurate condition\.
+ Communicating with underwriters, agents, loss control specialists or any others to both receive and pass on all relevant policy and case information; utilizing information to improve services, anticipate and prevent problems, or suggest improvements\.
+ Meeting assigned quality and work load expectations; implementing revisions or improvements to procedures, as necessary\. Ensure all production, timeliness, and quality standards are met\.
+ Processing assigned policies and cases according to department procedures and expectations; responding to complaints and inquiries, identifying and resolving difficulties in membership and benefits services\.

**Job Qualifications**

_Education_

+ High School Diploma or equivalent

_Experience_

+ 1 year \- Experience in the healthcare industry required

_Skills\\Certifications_

+ Proficient in Microsoft Office \(Outlook, Word, Excel and Powerpoint\)
+ Proficient oral and written communication skills
+ Proficient interpersonal and organizational skills

\- Shared Health experience preferred

**Number of Openings Available:**

1

**Worker Type:**

Employee

**Company:**

BCBST BlueCross BlueShield of Tennessee, Inc\.

**Applying for this job indicates your acknowledgement and understanding of the following statements:**

BCBST is an Equal Opportunity employer \(EEO\), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made\. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\)

**BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.**

**Tobacco\-Free Hiring Statement**

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products \(including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes\) in any form in Tennessee and where state law permits\. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community\. **All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test\.** An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotineand/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six \(6\) months from the date of the post offer screening results\.

Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree\.gov or 1\-800\-QUIT\-NOW\.

About Us

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\.

BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\.

BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\. If the applicant moves to Chattanooga, TN, they may be eligible for relocation benefits\.