Medicare Advantage Customer Experience Representative-10 - Topeka
5 hours ago
Job description
This job was posted by : For moreinformation, please see:
The
Medicare Advantage Customer Experience Representative provides a world
class customer service experience through resolution of complex customer
inquiries from members, providers, internal customers, and other Blue
Plans related to Medicare Advantage (MA).
\"This position is eligible to work onsite or remote in accordance with
our Telecommuting Policy. Applicants must reside in Kansas or Missouri
or be willing to relocate as a condition of employment.\" This role
includes hours that can range from 8:00 a.m. to 8:00 p.m. and can
include weekend hours from October 1 through March 31.
This position will have a start date of approximately March 30, 2026.
Why Join Us?
Family Comes First:
Total rewards package that promotes the idea of
family first for all employees; including paid time off and family first
leave.
Professional Growth Opportunities:
Advance your career with ongoing
training and development programs both through our internal Blue
University and external opportunities.
Dynamic Work Environment:
Collaborate with a team of passionate and
driven individuals.
Make a Positive Impact:
Your work will directly contribute to the health
and well-being of Kansans.
Stability: 80 years of commitment, compassion, and community
Lead and Inspire:
Guide and mentor your team to achieve their full
potential and success.
Balance:
paid vacation and sick leave with paid maternity and paternity
available immediately upon hire
Real World Experience:
You will work hand in hand with our team in
learning our business and applying your classroom learning.
Networking Opportunities:
Participate in our corporate intern program
and network with other interns at BCBSKS to enhance your learning
opportunity.
Compensation
Non-Exempt Grade 11
\$20.96- \$26.20
Blue Cross and Blue Shield of Kansas offers excellent competitive
compensation with the goal of retaining and growing talented team
members. The compensation range for this role is a good faith estimate,
it is estimated based on what a successful candidate might be paid. All
offers presented to candidates are carefully reviewed to ensure fair,
equitable pay by offering competitive wages that align with the
individual\'s skills, education, experience, and training. The range may
vary above or below the stated amounts.
Are you ready to make a difference? Choose to work for one of the most
trusted companies in Kansas.**
What you\'ll do
Responsibilities
Research, resolve, and respond to inquiries and correspondence via
telephone, written, and email communication. Inquiries may be
regarding benefits, eligibility, coverage and plan changes,
payments, claims, prior authorizations, appeals, and grievances.
Resolve customer inquiries and grievances in a timely and accurate
Manner According To Company And Regulatory Requirements.
Work with peers, other departments, and leadership to find
appropriate solutions to problems.
May serve as a backup in processing MA member, member
representative, or provider appeals and grievances.
Perform assigned job-related duties as required, including any special
projects.
What you need
Knowledge/Skills/Abilities
Effective communication skills to resolve complex inquiries and
grievances. Must be able to follow Corporate Style Guide and excel
at written, as well as verbal communication.
Ability to interact positively with internal and external customers
while demonstrating empathy, adaptability, and listening skills.
Analytical and problem-solving skills to diagnose problems and
recommend effective solutions.
Ability to listen, talk, type, and perform research simultaneously
using various research channels.
Ability to maintain strict confidentiality in handling data related
to job duties.
Effective time-management skills to respond to customer inquiries
promptly.
Technical skills to effectively use computer programs and
troubleshoot simple computer issues independently or with direction.
Must be comfortable working independently in a structured
environment.
Ability to adhere to a rigid schedule and have regular and
predictable attendance.
Ability to achieve production-based performance goals. Obtain and
maintain any departmental or legally required certifications (e.g.
CMS or BCBSA requirements).
Upon completion of training:
Working knowledge of Blue Cross and Blue Shield of Kansas MA and
Other Relevant Customer Service Systems Is Required.
Detailed knowledge of MA line of business is required.
Required
Education and Experience:
High school diploma or equivalent.
Two years of customer service experience.
Preferred
College or continuing education courses in communications and/or medical
related fields.
Two years of navigating multiple computer systems simultaneously.
Two years of MA or other call center
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