Research Specialist at BlueCross BlueShield of Vermont

Berlin, Vermont, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Apr, 26

Salary

21.0

Posted On

05 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Claims Processing, Healthcare, Health Insurance, Provider Billing, Communication, Confidentiality, Problem Solving, Relationship Management, Policy Interpretation, Team Collaboration, Feedback Communication, Attention to Detail, Time Management, Adaptability, Professional Growth

Industry

Insurance

Description

Blue Cross and Blue Shield of Vermont is looking for a Research Specialist to join our Inter-Plan Programs team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced and flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401K, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development. COMPENSATION: The hourly range for this position is $18.00-21.00. Additional compensation opportunities and incentives will be detailed during the interview process. Please note that the range listed above is our good faith estimate of the hiring range for this role. If you are hired at Blue Cross and Blue Shield of Vermont, your final base salary compensation will be determined based on factors such as skills, competencies, education, experience, and internal equity across the current team. We also offer a robust benefits package with significant value (see below). LOCATION: Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. Research Specialist Responsibilities: * Responsible for a high level of quality by providing information and or initiating appropriate corrective actions to resolve a customer’s inquiry based on a thorough and comprehensive understanding of BCBSVT contracts, policies, systems and procedures. * Maintain relationships between the Plan and its customers. * Work with all levels of expertise including provider billing clerks to provider business managers, other BCBS plans as well as our subscribers and members. * Work closely with other business units to address customer concerns and communicate feedback to our customers * Accurate and timely interpretations of the Plan policies and procedures while maintaining the absolute confidentiality of member and provider information. Research Specialist Qualifications: * High school graduation or equivalent is required. Two year college degree is preferred * A minimum of 1-3 years customer service or claims processing experience in a healthcare or health insurance setting is required. * Experience in a provider’s billing office is preferred. Research Specialist Benefits: * Health insurance (including vision) * Dental coverage (free to employees) * Wellness Program * 401(k) with employer match + automatic employer contribution * Life Insurance * Disability Insurance * Combined time off (CTO) – 20 days per year + 10 paid holidays * Tuition Reimbursement * Student Loan Repayment * Dependent Caregiver Benefits Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at http://www.bluecrossvt.org/about/diversity-equity-and-inclusion [http://www.bluecrossvt.org/about/diversity-equity-and-inclusion]. *full job description attached to ADP posting

Responsibilities

The Research Specialist is responsible for providing high-quality information and resolving customer inquiries based on a thorough understanding of BCBSVT contracts and policies. They maintain relationships with customers and work closely with other business units to address concerns and communicate feedback.