Job description
Summary
Accountable for managing one or more teams responsible for customer service. Manages the day-to-day operations and workload issues for staff.
Description
Summary:
BlueChoice Health Plan is a wholly owned subsidiary of BlueCross BlueShield of South Carolina, the largest health insurance company in the Palmetto State. We offer and excellent working environment, with quality benefits.
Why should you join the BlueCross BlueShield of South Carolina family of companies?
Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community.
We are the largest insurance company in South Carolina … and much more.
We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast.
We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths.
We deliver outstanding service to our customers.
If you are dedicated to the same philosophy, consider joining our team!
Position Purpose:
As a Member Service Manager, this role provides oversight/direction for all activities of a membership area/function to include any or all of the following: enrollment, application processing, billing, account administration and management (mailings, reconciliations,
collections, etc.), commissions, corporate/company reporting, coordination of marketing material mailings, system testing for corporate/company projects, customer service/new group or renewal implementation, online administration, monitor functionality of policy/certificate issuing system
As a Member Service Manager, this role provides oversight/direction for all activities of a membership area/function to include any or all of the following: enrollment, application processing, billing, account administration and management (mailings, reconciliations,
collections, etc.), commissions, corporate/company reporting, coordination of marketing material mailings, system testing for corporate/company projects, customer service/new group or renewal implementation, online administration, monitor functionality of policy/certificate issuing system
Logistics:
This is a full-time position working (40-hours/week) Monday-Friday 8:00am – 5:00pm working on-site at 4101 Percival Rd. Columbia SC, in an office environment.
This is a full-time position working (40-hours/week) Monday-Friday 8:00am – 5:00pm working on-site at 4101 Percival Rd. Columbia SC, in an office environment.
What You’ll Do:
Manages the administration, implementation, maintenance and day-to-day operations, procedures, and activities of assigned cost centers or areas.
Provides communication and dissemination of information to staff members.
Prepares, reviews, and submits various reports required by management.
Prepares, monitors, and analyzes expenditures.
Ensures overall operational compliance.
Works with marketing, underwriting, claims, fiscal services, medical review, and other
internal/external customers to ensure appropriate group structure, status, benefits,
billing, and commissions.
Works with marketing, underwriting, claims, fiscal services, medical review, and other
internal/external customers to ensure appropriate group structure, status, benefits,
billing, and commissions.
Works with other major departments in the company to identify and further overall business goals.
Responds to more sensitive, complicated and/or escalated issues and inquiries from internal/external customers.
Responds to more sensitive, complicated and/or escalated issues and inquiries from internal/external customers.
Selects, trains, develops, and guides staff and ensures excellent customer service is given to employees, customers, management, etc.
Monitors department performance and productivity. Performs quality control functions for work performed.
Makes recommendations on process improvements and identifies training needs of staff.
To Qualify for this position, you’ll need:
- Bachelor's degree or 4 years of job related work experience. (Equivalency not applicable for the Celerian Group. Bachelor's degree required.)
- 5 years of experience in insurance, membership, billing, claims processing, or customer service, or combination of these. 2 of the 5 years listed must either have been in a supervisory role OR be 2 years of equivalent military experience in grade E4 or above.
- Knowledge and proven ability in a membership or billing system.
- Ability to work independently, prioritize effectively, and make sound decisions. good judgment skills.
- Demonstrated customer service, organizational, and presentation skills.
- Demonstrated verbal and written communication skills.
- Ability to persuade, negotiate, or influence others. analytical or critical thinking skills.
- Basic business math proficiency.
- Ability to handle confidential or sensitive information with discretion.
- Ability to direct, motivate, and assess performance of others.
- Microsoft Office.
What we Prefer you to have:
- Bachelor's degree-in Business Administration, Healthcare Administration or other job related field.
- 5 years-of budget management and healthcare program management experience.
- Knowledge of underwriting guidelines, legislative law, benefit structures.
- Knowledge of corporate contracts, marketing procedures, and procedural manuals.
- Working knowledge of database software.
- Understanding of compliance rules and regulations.
- Knowledge of state insurance laws.
- Knowledge/ability to use computer and reporting systems/files.
- Such systems/files are membership, billing, CES, AMMS, OPRS, PABS,
- TOTL, OPAS. additional systems/files are web, GCOM, PRO, Corbel, TSO.
- Working knowledge of Microsoft Access, Easytrieve, DB2.
What We can Do for You:
We offer our employees great benefits and rewards. You will be eligible to participate in the
benefits the first of the month following 28 days of employment.
- Subsidized health plans, dental and vision coverage
- 401K retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Wellness program and healthy lifestyle premium discount
- Tuition assistance
- Service recognition
- Employee Assistance
- Discounts to movies, theaters, zoos, theme parks and more
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to
ensure your meet the qualifications. This may include a brief telephone interview or email
communication with our recruiter to verify resume specifics and salary requirements. If the
qualifications required proof of semester hours, please attach your transcript to your
application.
Management will be conducting interviews with the most qualified candidates, with
prioritization give to those candidates who demonstrate the preferred qualifications.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail abilities@bcbssc.com or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
learninglandscape.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, learninglandscape.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, learninglandscape.com is the ideal place to find your next job.