Supervisor, Claims Customer Service Private Business

BlueCross And BlueShield Of South Carolina

Job Location:

Columbia - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

The job posting is outdated and position may be filled

Job Summary

Summary

Oversees an area responsible for claims appeals and/or customer service to ensure departmental performance guarantees are met.

Description

Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours 10:30am-7pm. It may be necessary given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at on site only 4101 Percival Road Columbia SC

What Youll Do:

Lead the claims and customer service staff to ensure prompt and accurate settlement of claims appeals and/or customer service inquiries. Coordinates with other areas while establishing and maintaining excellent customer relations.
Analyze problems and concerns to make effective decisions that provide positive solutions. Make recommendations for process improvements and efficiencies for the department.
Manage the recruiting hiring coaching and mentoring monitoring and evaluation and addressing all disciplinary issues in a timely manner.
Encourage staff in creating and maintaining a work environment with high morale and employee satisfaction through support of professional development training career growth and rewarding high performance.
Serve as a liaison for internal and external customers. Ensures the timely and accurate resolution of any issues and/or provides necessary training to staff as needed or requested.

To Qualify for This Position Youll Need the Following:

Required Education:
Bachelors degree OR 4-years of healthcare experience in customer service provider network service membership billing and/or claims/appeals processing operations.
Required Work Experience:
2-years of claims/appeals customer service or call center experience
Required Skills and Abilities:
Strong analytical organizational and judgment skills.
Excellent customer service skills.
Ability to persuade negotiate or influence.
Strong oral and written communication skills.
Strong spelling punctuation and grammar skills.
Demonstrated leadership ability.
Microsoft office proficient.

We Prefer You Have the Following:

Bachelors degree
4 years-of healthcare customer service or claims experience.
Previous budget experience.
1 year-of leadership experience including scheduling or coordinating work of others developing work procedures and training for others and/or leading group project initiatives
Strong presentation skills.
Basic business math skills.
Ability to interact easily with customers staff and other members of the organization.
Knowledge of the benefit plans for each group.
Knowledge of all systems and their roles in claims adjudication.
Strong leadership skills to direct and motivate employees.
Knowledge of performance standards and quality assurance guidelines.

Our Comprehensive Benefits Package Includes the Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.

Subsidized health plans dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies theaters zoos theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills advance their careers and contribute their unique abilities to the growth of our company.

What to Expect Next:

After submitting your application our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will conduct interviews with those candidates who qualify with prioritization given to those candidates who demonstrate the required qualifications.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age race color national origin sex religion veteran status disability weight sexual orientation gender identity genetic information or any other legally protected status. Additionally as a federal contractor the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities pregnant individuals individuals with pregnancy-related conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment please email or call ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation .

Some states have required notifications. Heres more information.

Required Experience:

Manager

SummaryOversees an area responsible for claims appeals and/or customer service to ensure departmental performance guarantees are met.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our norma...