Anticipated work hours are between 8:00a.m. - 8:00p. (Schedule includes rotating Saturdays, holidays, and overtime as needed.)

　　Required Skills and Experience:

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

　　-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 exceedmember 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¿s 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

　　Bi-Lingual/Spanish

　　Category Clerical

　　Function Clerical / Administrative

　　Req ID JN -012024-120803