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BCBSMA is seeking a new Customer Service Representative (Customer Service) for our elite Provider Services Division!

The Provider Services Representative (Customer Service) will resolve telephone and written provider claims-related service inquiries. The Provider Services Representative (Customer Service) will be responding to our provider's benefit-related issues and questions, responding to questions on corporate policies and guidelines, timely filing, account receivables, claims processing, etc. The Provider Services Representative (Customer Service) will represent Provider Services in a positive and professional manner through appropriate telephone techniques and written responses.

For consideration, please attach a resume to your application!

RESPONSIBILITIES:
- Assess, identify, and resolve provider inquiries in a timely and professional manner
- Research and handle complex requests in an appropriate time frame with effective follow up
- Review and manage personal inventory, in a timely manner, including aged inquiries
- Communicate in a clear and concise manner to providers, peers and all levels of leadership
- Contribute to the achievement of divisional and corporate goals including MTM
- 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

QUALIFICATIONS:
- Strong verbal and written communication skills
- Quality and service-oriented demeanor
- Effective listening and organizational skills
- Demonstrate sound decision-making
- Self-motivation, initiative, ability to handle multiple priorities and meet strict deadlines
- Strong navigational skills with current knowledge of technology
- Personal commitment to high quality performance through integrity, accountability, compassion, and teamwork
- Ability to provide customer service designed to meet the customer's needs, showing empathy and the ability to apply reasonableness

EDUCATION/RELEVANT EXPERIENCE:
- BS/BA degree preferred or equivalent work experience
- 2-3 years customer service experience

BENEFITS @BCBSMA:
- Paid Training & Competitive Salary!!!
- Generous Paid Vacation Time
- 401K
- Professional Development, Career Growth & more!

#LI-DNI

LocationHinghamTime TypeFull time

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Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.