Intake Specialist

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Handle requests, inquiries, and transactions through phone, email, fax, and mail

• Assess requests for completeness and accuracy

• Provide support to both internal and external customers via phone or email

• Record call and inquiry details and attach necessary supporting documentation

• Forward unresolved matters to the appropriate department for further investigation

• Collect and analyze data to offer feedback to Team Leads regarding employee development requirements and educational needs for providers

• Evaluate inquiries to ascertain if authorization is necessary

• Confirm member benefits, eligibility, and provider setup

• Maintain and refresh Service Requests

• Investigate incorrect or missing data

• Prioritize and allocate incoming inquiries to the suitable personnel

• Conduct monthly Peer Audits

• Communicate clinical review outcomes to members and providers both verbally and in writing

• Assist with special projects as required

⛳️ Requirements

• High school diploma or GED

• Over 3 years of experience in a related field

• Currently, Blue Cross NC will not provide employment authorization sponsorship for this role

• Previous experience in telephone-based customer service is highly preferred

• Knowledge of and familiarity with medical terminology is an advantage

🏝️ Benefits

• Medical, dental, and vision insurance

• Health and wellness initiatives

• Parental leave and support services

• Adoption and surrogacy assistance

• Opportunities for career development

• Tuition reimbursement for ongoing education

• 401k matching with an annual company contribution

• Paid Time Off (PTO)

• Annual Incentive Bonus

• Flexible working arrangements

• Emphasis on work-life balance and autonomy