Healthcare Patient Access Representative
3 weeks ago
At Blue Cross Blue Shield of Massachusetts, we are seeking a skilled Clinical Intake Specialist to join our team. As a Clinical Intake Specialist, you will play a critical role in ensuring that members receive timely and accurate claims payments.
About the RoleThe Clinical Intake Specialist will be responsible for handling telephonic and fax notifications, referrals, and requests for authorization from members, facilities, and physician offices. You will build and update referrals and authorization requests in the member record to enable accurate and timely claims payment.
Key Responsibilities- Handle protected health information consistent with department and company policies and regulatory requirements.
- Follow identified workflows, plan requirements, clinical guidelines, and make sound, objective decisions.
- Employ active listening skills, demonstrate patience, and empathy with internal and external customers.
- Meet or exceed department established key performance indicators.
- Handle difficult customers tactfully, courteously, and professionally.
- Adhere to assigned schedules to ensure appropriate phone queue coverage.
To be successful as a Clinical Intake Specialist, you should possess:
- A high school diploma or equivalent.
- 6-12 months of relevant experience.
- Preferred customer service experience in healthcare, call centers, or corporate offices.
- Knowledge of medical terminology is helpful.
We offer a comprehensive benefits package, including paid time off, medical/dental/vision insurance, and 401(k). Our team is dedicated to employee development and provides resources for success. We encourage diversity and inclusion in the workplace.
$50,000 - $65,000 per year, depending on experience.
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