Eligibility Clerk at Blue Cross Blue Shield of Michigan

Posted in Admin - Clerical 1 day ago.

Type: Full-Time
Location: Grand Rapids, Michigan





Job Description:


Non-Exempt/Bargaining Unit Posting

Second Posting Reduced Qualifications: 



  • Three (3) years BCBSM experience dealing with groups and customer servicing preferred.  Must be able to type a minimum of 35 w.p.m.  Verbal communication skills necessary to respond to questions received on the phone by groups/subscribers/internal areas; written communication skills necessary to provide letters for mass mailings, promotional materials and/or respond to groups/subscribers and internal areas inquiries; ability to operate CRT.  High level planning and organizing skills are required.  Knowledge of BCBSM benefits; knowledge of group reopening and group wide changes; knowledge of underwriting policies and procedures.

2nd Date Posted: 09/15/2022

2nd Date Closed: 09/22/2022

Original Posting: 08/31/2022-09/08/2022

Local/Seniority Unit – 2145/2101

Department – 147580 Manager Account Services

Salary Grade – UF

Number of openings – 1

Shift – Mon-Fri 8:30a-5pm

Site/Location: Grand Rapids Steketee Bldg

Status – Regular Full Time


JOB SUMMARY

Reviews and researched application cards received form association groups: the process is to review applications, contact the association to verify membership and determine the effective date according to the group enrollment schedule: research and resolve correspondence inquiries for subscribers or potential subscribers and association contacts regarding eligibility and effective dates:  receives/responds to telephone inquiries from association contacts, subscribers D.O.’s and all BCBSM personnel inquiring on the status of an application:  sends approved applications to Direct Billing indicating effective date; composes letters and memos to provide responses to inquiries;  logs applications received and processed on Inquiry Control System; dates, sorts incoming and outgoing mail; files, maintains department stock, handles copying requests, backs up customer. 

PRINCIPAL DUTIES & RESPONSIBILITIES


  1. Prepares and coordinates mailings.

  2. Prepares letters and assists in preparation of promotional materials.

  3. Contacts group decision-makers to request rosters and materials for annual reopenings.

  4. Contacts outside vendors and internal departments as required.

  5. Compiles and submits data to compile annual reopenings and group wide changes.

  6. Develops and coordinates surveys.

  7. Responds to written inquiries regarding classification of reopenings, ineligibility and surveys.

  8. Performs other duties as assigned.


"Qualifications"

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES

High school graduate or GED equivalent.

Three (3) years BCBSM experience dealing with groups and customer servicing.  Must be able to type a minimum of 35 w.p.m.  Verbal communication skills necessary to respond to questions received on the phone by groups/subscribers/internal areas; written communication skills necessary to provide letters for mass mailings, promotional materials and/or respond to groups/subscribers and internal areas inquiries; ability to operate CRT.  High level planning and organizing skills are required.  Knowledge of BCBSM benefits; knowledge of group reopening and group wide changes; knowledge of underwriting policies and procedures.





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