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Health Services Technician (Remote) ID-13401

About the position

The Health Services Technician position at Blue Cross Blue Shield of Arizona is a full-time remote role focused on the research and triage of records and documentation to ensure accurate and timely processing of requests. The role emphasizes customer service, collaboration with team members, providers, and members, and adherence to regulations while maintaining confidentiality and compliance with HIPAA. The position requires effective communication and the ability to adapt to a changing work environment, with opportunities for professional growth and development.

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Responsibilities

  • Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person.
  • Answer a diverse and high volume of health insurance customer calls or correspondence daily.
  • Maintain complete and accurate records per department policy.
  • Confidentially maintain member information and ensure HIPAA compliance at all times.
  • Meet quality, quantity and timeliness standards to achieve individual and departmental performance goals.
  • Explain to customers a variety of information concerning the organization's services, including contract benefits, changes in coverage, eligibility, claims, and provider networks.
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
  • Research, gather and conduct preliminary analysis of data for department and corporate reporting.
  • Assist in the development of procedures and or desk levels for assigned processes, as needed.
  • Maintain effective communication (verbal and written) with internal and external customers.

Requirements

  • 1 year of experience in healthcare, health insurance, or related customer service.
  • High School Diploma or GED in the general field of study.

Nice-to-haves

  • 2 years of experience in healthcare, health insurance, or related customer service.
  • Associate's Degree in the general field of study.

Benefits

  • Health insurance coverage
  • Flexible scheduling options
  • Paid time off
  • Professional development opportunities
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