Service Representative
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Job Description
Provider service representative resolving healthcare claims and benefits inquiries for Blue Cross Blue Shield of Massachusetts. Supporting providers through calls, written responses, and structured training.
Responsibilities:
- Resolve telephone and written provider claims-related service inquiries
- Respond to providers’ benefit-related issues and questions
- Address corporate policies and guidelines, timely filing, account receivables, and claims processing inquiries
- Represent the Provider Services team through appropriate telephone techniques and written responses
- Participate in a phased new-hire training program covering the health insurance industry
- Take provider calls most of each week
- Dedicate specific time to learning, development, and research supporting career growth
- Work in a structured, supportive, fast-paced, unscripted service center environment
- Work a fixed shift with scheduled lunches and breaks
Requirements:
- High school diploma or equivalent required
- 1+ years customer service experience with frequent communication (minimum 60% of time) by phone, email, and/or in person
- Strong familiarity and comfort with technology, including Microsoft Office applications
- Ability to quickly learn and adapt to new tools and software
- Experience in fast-paced, unscripted service-first environments highly preferred
- Frequent speaking and phone use with providers
- Ability to use a headset in an environment free from distractions
- Ability to sit for long periods and work at a computer
- Ability to establish an ergonomically comfortable, distraction-free remote work environment
- Adherence to BCBSMA’s Hybrid Working Guidelines, including video participation in trainings and meetings
Benefits:
- Annual raise/bonus based on performance and company performance
- Health benefits
- Wellness benefits
- Tuition reimbursement
- 401(k) retirement benefits
- Paid holidays
- Vacation time
- Personal time
- Wellness time
- Internal career pathing with individual mentorship, networking and events
- Internal career growth opportunities
- Employee Resource Groups
- Comprehensive paid time off
- Medical, dental, and vision insurance
- Suite of well-being benefits
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