Research Specialist

Blue Cross and Blue Shield of Vermont is looking for a Research Specialist to join their Inter-Plan Programs team. The role involves providing high-quality information to resolve customer inquiries and maintaining relationships between the Plan and its customers while ensuring confidentiality of member and provider information.

Responsibilities

• Responsible for a high level of quality by providing information and or initiating appropriate corrective actions to resolve a customer’s inquiry based on a thorough and comprehensive understanding of BCBSVT contracts, policies, systems and procedures
• Maintain relationships between the Plan and its customers
• Work with all levels of expertise including provider billing clerks to provider business managers, other BCBS plans as well as our subscribers and members
• Work closely with other business units to address customer concerns and communicate feedback to our customers
• Accurate and timely interpretations of the Plan policies and procedures while maintaining the absolute confidentiality of member and provider information

Skills

• High school graduation or equivalent is required
• A minimum of 1-3 years customer service or claims processing experience in a healthcare or health insurance setting is required
• Two year college degree is preferred
• Experience in a provider's billing office is preferred

Benefits

• Health insurance (including vision)
• Dental coverage (free to employees)
• Wellness Program
• 401(k) with employer match + automatic employer contribution
• Life Insurance
• Disability Insurance
• Combined time off (CTO) – 20 days per year + 10 paid holidays
• Tuition Reimbursement
• Student Loan Repayment
• Dependent Caregiver Benefits

Company Overview