Blue Cross NC

Intake Specialist

• Process a variety of requests, inquiries and transactions via phone, email, fax, and mail
• Review requests to ensure accuracy
• Support internal & external customers via phone or email
• Document all pertinent information related to the call/inquiry
• Gather and analyze data to provide feedback to Team Leads
• Screen inquiries to determine if authorization is required
• Verify member benefits and eligibility and/or provider setup
• Maintain and update Service Requests and research incorrect or missing information
• Triage and assign all incoming inquiries in a timely, efficient manner
• Provide clinical review outcome notification to members and providers

• Process a variety of requests, inquiries and transactions via phone, email, fax, and mail
• Review requests to ensure accuracy
• Support internal & external customers via phone or email
• Document all pertinent information related to the call/inquiry, attach supporting information as applicable and if unable to resolve route to appropriate area for follow up
• Gather and analyze data to provide feedback to Team Leads on employee development needs
• Screen inquiries to determine if authorization is required
• Verify member benefits and eligibility and/or provider setup
• Maintain and update Service Requests and research incorrect or missing information
• Triage and assign all incoming inquiries in a timely, efficient manner to appropriate staff
• Perform Peer Audits monthly as required
• Provide clinical review outcome notification to members and providers (verbal and written)

Customer Support

• Act as a solution-focused service advisor for BCBSNC customers
• Manage Spanish inbound calls in native language
• Translate documents and written material as required
• Educate and encourage customers on use of alternative delivery channels
• Document corrective measures and detailed customer information for inquiries

Intake Specialist

Intake Specialist

Bilingual Customer Service Representative