G-TECH Jobs

Required Skills and Experience:

Medical Terminology or medical background such as nursing assistant/tech or doctor office experience

Formal education past high school

Customer Service experience

Exceptional phone skills

Administrative/PC skills

Highly preferred:

• Provide high quality, member focused servicing using knowledge of plans, products, systems, and procedures to meet or exceed member experience

• Assist in locating primary care physicians,specialists and dentists

• Thoroughly explain wellness care management program benefits to members

• Work as a team member to assist nurses in researching providers, eldercare, nursing homes

• Concisely and accurately enter documentation into Care Advance

• Effectively engage over the phone via both inbound and outbound members that qualify for our clinical programs or those who are interested in learning more about our services

• Refer and/or warm transfer to wellness and care management components and other BCBSM areas and vendors as needed

• Process provider requests as needed

• Act as member first trusted source for WCM programs

• Schedule appointments between the member and coach in appropriate systems

• Assign referrals to designated staff

• Process requests for compliance inquiries

• Access various WCM department mailboxes and voicemail as needed

Ability to function independently.

Critical Thinking

Quick learner

Category Clerical

Function Clerical / Administrative

Req ID JN -042024-121018