LogoFresh Jobs Ahead
Capital Blue Cross
Capital Blue Cross
1.001 – 5.000 Angajați
Sponsor pentru viza H1BAsigurăriAsistență medicalăConsultanță
Capital Blue Cross este o organizație de servicii medicale și asigurări care deservește persoane, familii, angajatori și comunități din Pennsylvania Centrală și Valea Lehigh. Oferta sa include planuri de sănătate, acoperire Medicare, planuri de sănătate pentru studenți și resurse concepute pentru a-i ajuta pe membri să navigheze prin sistemul de îngrijire medicală. Compania se concentrează pe o acoperire accesibilă, sănătatea preventivă și sprijinul continuu pentru nevoile mai ample de sănătate și bunăstare ale membrilor săi.
LinkedIn
Locurile de muncă ale companiei

Client Services Pharmacy Support Analyst – Pennsylvania Remote

Provide remote pharmacy support by researching benefits, claims, billing, and enrollment questions for Capital Blue Cross. Assist members, brokers, providers, vendors, and internal teams with accurate, timely resolutions.

USStatele Unite ale AmericiiPAPennsylvania
19 $ – 35 $ / oră
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăInginer de suport

Descriere

  • Research and assess customer inquiries related to vendor lines of business
  • Interpret applicable policies and procedures to determine the appropriate response
  • Retrieve benefits, enrollment, and claims information using computers, manuals, online references, Imaging, and other systems
  • Resolve routine and complex questions involving benefits, claims, billing, enrollment, legal requests, Medicare Secondary Payer, COBRA, reinstatements, conversions, refunds, and related matters
  • Deliver job-related instructional sessions when requested
  • Assist customers by phone, correspondence, on-site interaction, fax, Secure IT, email, and personal interview
  • Track vendor inquiries through system-generated reports to support timely and accurate resolution
  • Provide direction to the appropriate plan areas for issue resolution
  • Contact internal and external parties to gather information and initiate required action
  • Update Facets inquiries, Salesforce cases, and Work Desk records while maintaining progress notes
  • Escalate trends and processing issues to management
  • Assist Marketing staff and brokers by researching and communicating customer information
  • Support marketing activities, including open enrollment and on-site visits
  • Complete continuing training and develop new skills
  • Identify, document, and report customer-service trends to the supervisor
  • Demonstrate conduct aligned with organizational values

Cerințe

  • At least three years of customer service or correspondence experience, or experience and training in a writing-intensive role
  • High school diploma or equivalent
  • Prior customer interaction experience preferred
  • Communicate effectively and professionally in verbal and written forms
  • Understand and interpret detailed policies and procedures
  • Understand HIPAA requirements for protecting Protected Health Information
  • Work independently and adapt to changing assignments and work environments
  • Apply analytical, organizational, and problem-solving skills
  • Operate a PC, related software, and office equipment proficiently
  • Use Windows, Outlook, Word, Internet Explorer, Excel, PowerPoint, SharePoint, and Salesforce competently
  • Demonstrate above-average reading, writing, and arithmetic skills
  • Understand Medicare Advantage, Medicare Part D, Medicare Supplemental Programs, Dental, Vision, Chiropractic, Prescription Drug, Benefits Management, and Disease Management
  • Understand PBM and Facets health plan administration processing systems
  • Understand benefits administration, billing, claims processing, ERISA, Act 68, BCBSA MTM, PPACA, HIPAA, and Account Administration regulations
  • Work 37.5 hours per week, including flexible schedules, nights, and weekends as business needs require

Beneficii

  • Medical, dental, and vision coverage
  • Retirement plan
  • Paid time off
  • Paid holidays
  • Volunteer time off
  • Incentive plan
  • Tuition reimbursement
  • Flexible scheduling
  • Training and continuing education
  • Professional and personal growth opportunities
  • Community volunteering opportunities

Locuri de muncă similare

PacerPro

Remote Technical Support Engineer at PacerPro

PacerPro
11 – 50 Angajați
JuridicSaaS
USStatele Unite ale Americii
95.000 $ – 115.000 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăInginer de suport
RubyRuby on RailsSQL

Troubleshoot legal data software issues for law firm customers, investigate email and document delivery problems, and manage account configurations. Support enterprise onboarding and integrations while improving service through automation, runbooks, and product feedback.

Deschide
Highmark Health

Senior Decision Support Analyst (Remote, US)

Highmark Health
Sponsor pentru viza H1BAsigurăriConsultanțăLogistică
USStatele Unite ale AmericiiALAlabamaAKAlaskaAZArizonaCACaliforniaCOColoradoCTConnecticutFLFloridaHIHawaiiIDIdahoILIllinoisIAIowaKSKansasKYKentuckyLALouisianaMEMaineMDMarylandMAMassachusettsMIMichiganMNMinnesotaMSMississippiMOMissouriNENebraskaNVNevadaNHNew HampshireNJNew JerseyNMNew MexicoNYNew YorkNCCarolina de NordNDDakota de NordOHOhioOKOklahomaOROregonPAPennsylvaniaRIRhode IslandSCCarolina de SudSDDakota de SudTNTennesseeTXTexasUTUtahVTVermontVAVirginiaWAWashingtonWVVirginia de VestWIWisconsinWYWyoming
34 $ – 54 $ / oră
RemoteNormă întreagăSeniorLimbă Obligatorie: englezăInginer de suport

Analyze healthcare financial, operational, and clinical performance for Allegheny Health Network. Provide executive insights, variance analysis, and recommendations while coaching junior analysts.

Deschide
CelerData

Database Support Engineer (Remote, United States) – CelerData

CelerData
51 – 200 Angajați
ÎntreprindereSaaS
USStatele Unite ale Americii
150.000 $ – 200.000 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăInginer de suport
AWSAzureCloudGoogle Cloud PlatformKafkaSQLTableau

Help enterprise customers deploy, adopt, and optimize PhoenixAI’s Agentic AI Database. Support technical evaluations and sales efforts while building lasting customer success.

Deschide
FUJIFILM Corporation

Senior National Support Engineer, Medical Imaging

FUJIFILM Corporation
Asistență medicalăElectronicăIndustria prelucrătoare
USStatele Unite ale Americii
110.366 $ – 146.364 $ / an
RemoteNormă întreagăSeniorLiderLimbă Obligatorie: englezăInginer de suport
AWSAzureCloudDockerJavaKubernetesLinuxOraclePostgresPythonScriptare shellSQLVMware

Lead complex escalations, technical architecture, training, and 24/7 support for FUJIFILM Healthcare medical imaging systems. Support PACS, VNA, storage, and clinical information products while coordinating solutions across teams.

Deschide
FUJIFILM Corporation

Senior Oracle DBA and National Support Engineer, Medical Imaging

FUJIFILM Corporation
Asistență medicalăElectronicăIndustria prelucrătoare
USStatele Unite ale Americii
110.366 $ – 146.364 $ / an
RemoteNormă întreagăSeniorLiderLimbă Obligatorie: englezăInginer de suport
AWSAzureCloudDockerJavaKubernetesLinuxOraclePostgresPythonScriptare shellSQLVMware

Lead advanced support for Fujifilm Healthcare’s medical imaging systems, resolving escalations and guiding technical teams. The role includes customer troubleshooting, staff mentorship, product quality initiatives, and as-needed 24/7 on-call coverage.

Deschide