Intake Specialist

Blue Cross NC; United States; Ibrido; USD 41.600 - 66.561; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental, and vision coverage

401k match with annual company contribution

Career development programs

Descrizione del lavoro

Blue Cross NC is seeking an Intake Specialist to handle a variety of internal and external requests and transactions. You will be responsible for processing inquiries, verifying member benefits, and ensuring timely documentation. The ideal candidate has at least 3 years of experience in a relevant field and a high school diploma.

This role offers a hybrid working model, combining flexibility and in-office collaboration. You will also enjoy benefits including medical coverage and career development programs.

Competenze

• 3+ years of experience in a related field.
• Ability to work independently with minimal supervision.

Mansioni

• Process requests, inquiries and transactions via phone, email, and fax.
• Verify member benefits and eligibility.
• Document information related to calls/inquiries.

Conoscenze

Problem-solving skills

Proficient in Microsoft Office Suite

Self-starter

Formazione

High school diploma or GED

Descrizione del lavoro

Job Description

The Intake Specialist processes a variety of internal and external member/provider requests and transactions. Receives, screens, and enters data in preparation for review. Complies with timeliness standards and reduces unpaid claims and rework by accurately processing requests. May also assist on special projects as needed.

What You’ll Do

• Process a variety of requests, inquiries and transactions via phone, email, and fax
• Review requests to ensure accuracy
• Support internal & external customers via phone or email, and fax
• Document all pertinent information related to the call/inquiry, attach supporting information as applicable and if unable to resolve route to appropriate area for follow up as applicable
• Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process
• Screen inquiries to determine if authorization is required
• Verify member benefits and eligibility and/or provider setup.
• Maintain and update Service Requests and research incorrect or missing information.
• Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff
• Perform Peer Audits monthly as required
• Provide clinical review outcome notification to members and providers (verbal and written)

What You Bring

• High school diploma or GED
• 3+ years of experience in related field.

Bonus Points

• Demonstrates the ability to work independently with minimal supervision
• Strong problem‑solving skills with a proactive, results‑driven mindset
• Self‑starter with a high level of initiative and accountability
• Proficient in Microsoft Office Suite, including Word, Excel, and related tools
• Background or experience in the insurance industry preferred

What You’ll Get

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
• Work‑life balance, flexibility, and the autonomy to do great work
• Medical, dental, and vision coverage along with numerous health and wellness programs
• Parental leave and support plus adoption and surrogacy assistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution

Location and Benefits

Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in‑person connection – that supports a workplace that’s flexible, connected, and future focused. In a Hybrid‑Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote‑Flex role, you’ll work virtually, with a few in‑office visits each year for meaningful moments that matter. Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

$41,600.00 - $66,561.00