Service Representative | Provider Services Division | November 2026 - Remote

bcbsma; Hingham (MA); Hybrid; USD 40,000 - 52,000; Full time

Benefits offered by this job

Hybrid/remote work options

Medical/dental/vision insurance

401(k) retirement plan

Paid holidays and time off

Job summary

Blue Cross Blue Shield of Massachusetts is seeking a Provider Service Representative to resolve provider inquiries about benefits, claims, and policies. You will work in a structured service center, participate in training, and support a mission to deliver quality health care.

The role offers 37.5 hours per week, remote-working opportunities, and a path for career growth within BCBSMA, with a focus on delivering excellent service to providers and members alike.

Qualifications

• High school diploma or equivalent is required.
• Experience delivering customer service via phone, email, or in person.
• Ability to learn and adapt to new tools and software quickly.
• Experience in fast-paced, unscripted service-first environments is preferred.

Responsibilities

• Resolve telephone and written provider claims-related inquiries.
• Explain benefit-related policies, timely filing, account receivables, and claims processing clearly.
• Represent the Provider Services team professionally by telephone and written responses.
• Participate in a phased new hire training program to learn the health insurance industry.

Skills

Customer service

Communication skills

Tech proficiency

Fast-paced environment

Problem solving

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Ready to help us transform healthcare? Bring your true colors to blue.

At Blue Cross Blue Shield of Massachusetts, our company promise is to always put our members first. Our mission is the relentless pursuit of quality, affordable, and equitable healthcare with an unparalleled consumer experience. As a Provider Service Representative, you will be at the heart of the consumer experience and a critical team member to support our mission.

Schedule:

8:30am – 4:30pm EST, including during training.

Compensation:

• Starting at $20.51/hour ($40,000/year) during training
• Upon successful completion of training, you will be eligible for a salary increase as outlined in our Provider Service progression model
• You will also be eligible for increases after completion of specified milestones as outlined in Provider Service progression model
• We offer annual raise/bonus based on your performance and the performance of the company!

What you’ll do

As a Provider Service Representative, you will resolve telephone and written Provider claims-related service inquiries. The Provider Services Representative responds to our Provider’s benefit-related issues and questions, including but not limited to corporate policies and guidelines, timely filing, account receivables, claims processing, etc. You’ll be able to represent the Provider Services team in a positive and professional manner through appropriate telephone techniques and written responses.

Provider Service Representatives work in a structured and supportive service center environment and are one of the most important positions at BCBSMA. You will be enrolled in a phased new hire training program to teach you everything you need to know about the health insurance industry. We will help you develop the skills and knowledge for a successful career with impact to millions of Americans.

This is a fast-paced, unscripted service center environment. No two problems, or resolution journeys are the same.

• You’ll be scheduled for 37.5 hours/week; the shift begins at 8:30am EST and ends at 4:30pm EST.
• Provider Service Representatives usually spend most of each week taking calls with providers, with specific time dedicated to learning and development, and research in support of career growth and development.
• We offer supportive remote-working opportunities

What you bring

Our Provider Service Representatives are the kind of people who create a plan and take charge in situations where others feel lost. We believe it’s important to ask for your input on anything from provider solutions to workspace design!

We’re looking for people who are:

• Committed to answering Provider’s questions and solving their inquiries
• Curious, committed to learning and gathering information
• Effective communicators and able to translate complicated concepts into simple terms
• Proactive, solution-oriented decision makers
• Planners, multi-taskers, and expert problem solvers
• Analytical and critical thinkers – able to anticipate and address future needs
• Able to multitask and thrive in a fast-paced, high-pressure environment

What you’ll gain

• Best in class health, wellness, tuition reimbursement, and 401(k) retirement benefits among many others!
• Paid holidays, vacation, personal, and wellness time
• Internal career pathing with individual mentorship, networking and events.
• The ability to Drive Your Career, with access to internal career growth opportunities
• All our associates are invited to join and participate in Employee Resource Groups. Our ERGs are spaces for employees with shared backgrounds or the desire to learn more about their colleagues.

Required Qualifications

• High school diploma or equivalent required
• 1+ years customer service experience where you are frequently communicating (minimum 60% of time) with customers by phone, email, and/or in person
• Strong familiarity and comfort with technology, including Microsoft Office applications, and an ability to quickly learn and adapt to new tools and software.
• Experience in fast-paced, unscripted service-first environments highly preferred

Physical Requirements & Work Environment

• This role requires frequent speaking, being on the phone with our Providers, using a headset in an environment free from distractions, and long periods of sitting and working at a computer.
• Shifts are fixed within our hours of operation with scheduled lunches and breaks.
• In this role, you will be responsible for establishing an appropriate physical work environment that is ergonomically comfortable and suited to the specific work being conducted, which includes ensuring that the environment is free from conditions likely to cause interruption or that would distract an associate from performing their job.
• All associates working remotely will be required to adhere to BCBSMA’s Hybrid Working Guidelines, including video participation in trainings and meetings

Minimum Education Requirements

High school degree or equivalent required unless otherwise noted above

Location

Hingham

Time Type

Full timeHourly Rate: $20.51

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested and determinable. The amount and availability of any bonus, commission, and any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay in the know on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our How We Work Page.