Clinical Support Representative

Blue Cross and Blue Shield of Vermont; Berlin (VT); On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

Health insurance (including vision)

Dental coverage (free to employees)

Wellness Program with a $500 year-end

401(k) with employer match

Life Insurance

Disability Insurance

Combined time off (CTO) – 20 days per

Tuition reimbursement

Student Loan Repayment

Dependent Caregiver Benefits

Job summary

Blue Cross and Blue Shield of Vermont is hiring a Clinical Support Representative to join our Utilization Management team. The role involves verifying member benefits, provider networks, and prior approval requirements for service authorizations in a call center setting.

The position begins with six weeks of in-person training at our Berlin, Vermont office. After training, representatives work on-site five days a week until proficient, with a hybrid arrangement to come to the office on

Qualifications

• Preferred background in medical office support or clinical assistance.
• Familiarity with medical terminology is helpful.
• Experience in healthcare settings is a plus.

Responsibilities

• Verify member benefits and provider networks.
• Check prior approval requirements for authorization of services.
• Support clinical review in a call-center environment.

Skills

Call center experience

Medical terminology

Office coordination

Education

Licensed Nursing Assistant (LNA)

Tools

Benefits verification software

Job description

Blue Cross is hiring Clinical Support Representatives to work alongside our clinical review team as part of our Utilization Management department. Job responsibilities include verifying member benefits, provider networks, and prior approval requirements for authorization of services all in a call center type environment. Work hours are Monday-Friday 8:00-4:30.

Experience working in the medical field as an office assistant, medical coder, or Licensed Nursing Assistant is preferred and familiarity with medical terminology is helpful.

• Starting pay at $20.00 per hour.
• Location: If hired, there will be a six week in-person training program at our Berlin, Vermont office. Representatives will continue working on-site five days per week until proficiency has been demonstrated in performing the role independently. After this time, employees within a 50-mile radius will be expected to come to the office on Wednesdays with flexibility to work remotely the rest of the week.
• Six-week paid training.

Robust Benefits Package Including

• Health insurance (including vision)
• Dental coverage (free to employees)
• Wellness Program with a $500 year-end incentive
• 401(k) with employer match
• Life Insurance
• Disability Insurance
• Combined time off (CTO) – 20 days per year + 10 paid holidays
• Tuition reimbursement
• Student Loan Repayment
• Dependent Caregiver Benefits
• And more!

Diversity, Equity, and Inclusion:

Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at http://www.bluecrossvt.org/about/diversity-equity-and-inclusion .