Intake Specialist

Title: Intake Specialist - NC Only

Location: NC-Remote

Full time

Job Description:

We’re seeking an Intake Specialist to join the Intake Call Center on the Commercial UM Operations Team! Based on established guidelines, the Intake Specialist takes inbound calls to process a variety of internal and external member/provider requests and transactions. Receives, screens, and enters data in preparation for review. Complies with timeliness standards and reduces unpaid claims and rework by accurately processing requests. May also assist on special projects as needed.

This position is open to candidates located in North Carolina.

What You'll Do 

• Process a variety of requests, inquiries and transactions via phone, email, and fax. 

• Review requests to ensure accuracy. 

• Support internal and external customers via phone or email. 

• Document all pertinent information related to the call/inquiry, attach supporting information as applicable and if unable to resolve route to appropriate area for follow up as applicable. 

• Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process.  

• Screen inquiries to determine if authorization is required. 

• Verify member benefits and eligibility and/or provider setup. 

• Maintain and update Service Requests and research incorrect or missing information. 

• Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff. 

What You Bring 

• High school diploma or GED 

• 3+ years of related call center experience 

Bonus Points (preferred qualifications) 

• Call center intake experience handling volume of 55-60 calls/day   

What You’ll Get 

The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community 

• Work-life balance, flexibility, and the autonomy to do great work 

• Medical, dental, and vision coverage along with numerous health and wellness programs 

• Parental leave and support plus adoption and surrogacy assistance 

• Career development programs and tuition reimbursement for continued education 

• 401k match including an annual company contribution 

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.
 

$41,600.00 - $66,561.00