Explore an exciting opportunity as a BlueCross BlueShield of Tennessee in United States, . This Full-time role is ideal for professionals interested in the Insurance sector and offers hands-on experience in the Other, Information Technology, and Management department.
Rated 4.4/5 by employees, this opening is perfect for candidates at the Entry level level. Posted 26 minutes ago, and still accepting applications — don’t miss out.
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“BlueCross BlueShield of Tennessee” Company Job Details
- Company Name: BlueCross BlueShield of Tennessee
- Work Type: Full-time
- Rating: 4.4 / 5
- Location: United States,
- Industry: Insurance
- Department: Other, Information Technology, and Management
- Experience Level: Entry level
- Job Creation Duration: 26 minutes ago
Health Navigator Job Overview
BlueCross BlueShield of Tennessee is seeking a Health Navigator to join our SeniorCare team. In this role, you will support our members by helping them understand discharge plans, schedule follow-up appointments, manage medication changes, and address any needs they may have while at home. We are a remote-first organization with a well-established team.
Ideal candidates will have experience in customer service, a medical office setting, or working with the senior population. Additionally, you will excel in this role if you can work independently, demonstrate patience, and possess a strong knowledge of medical terminology.
Job Responsibilities
- Conducting educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
- Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
- Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.
- Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries.
- Work overtime as needed
- Various immunizations and/or associated medical tests may be required for this position.
- This job requires digital literacy assessment.
Job Qualifications
Education
- Associates Degree in, education, communication, or health related field or equivalent work experience
Experience
- 2 years – Experience in a customer service support role is required
SkillsCertifications
- Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
- Proficient interpersonal and organizational skills
- Independent, Sound decision-making and problem-solving skills
- Must be able to work in an independent and creative manner.
- Self-motivated and able to manage multiple tasks and set priorities.
- Effective time management skills
- Excellent oral and written communication skills
- Strong interpersonal and organizational skills
- Knowledge in Medical terminology
Number of Openings Available:
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST’s EEO Policies/Notices may be found by reviewing the following page:
BCBST’s EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
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