Job duties include but are not limited to the following:

• Call center position supporting BCBSF's Pre Service Medical Review Team
• Assist providers with the entry and update of requests for medical clearances
• Research, coordinate and resolve inquiries and claims exceptions
• Coordinate with other Provider Service areas to identify formal education opportunities
• Identify, document and monitor process improvements
• Moderate to heavy keying required

Requirements:

• 1 year Call Center/Insurance experience.
• Preferred: Understand Medical Terminology and Medicare experience.
• Must: Healthcare and Call Center experience. Basic Microsoft knowledge.
• Education: HS Diploma.