Medicare Advantage Customer Experience Representative-10 - Lawrence

This job was posted by : For more · information, 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 oth ...

Job description

This job was posted by : For more


information, 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