Experienced Remote Health Services Representative - Blue Cross Blue Shield Careers with Workwarp

Unlock a Rewarding Career with a Purpose-driven Organization

At Workwarp, we're proud to partner with Wellmark, a mutual insurance company dedicated to the well-being of its members across Iowa and South Dakota. With a legacy spanning over 80 years, Wellmark has built a reputation on trust, putting its members first, and delivering exceptional service. If you're passionate about making a difference in the healthcare industry and joining an organization that prioritizes sustainability, innovation, and customer-centricity, we invite you to explore this exciting opportunity.

About the Role: Remote Health Services Representative

We're seeking a highly skilled and motivated Health Services Representative to join our remote team, providing critical support to Wellmark's care management teams. As a key member of our Health Services team, you'll play a vital role in ensuring seamless communication between clinical staff, Medical Directors, and other stakeholders. Your primary responsibilities will include:

• Making outbound calls to clinical staff regarding denials for services and admissions, as well as scheduling peer-to-peer reviews for Medical Directors.
• Completing prompt and professional outbound phone and fax inquiries to obtain member discharge dates and request clinical information as directed by Care Coordination Nurses.
• Providing backup support for other Health Services team members as needed.
• Maintaining accurate records and ensuring timely follow-up on outstanding tasks.

About You: A Dedicated Healthcare Professional

We're looking for a talented individual who is passionate about delivering exceptional administrative support in a fast-paced healthcare environment. If you're a motivated and organized professional with a high attention to detail, we encourage you to apply. You'll need to be able to:

• Advocate for stakeholders through collaboration with multi-disciplinary teams.
• Manage a large variety of responsibilities while staying organized and focused.
• Communicate complex concepts clearly and concisely to stakeholders through strong written and verbal communication skills.
• Demonstrate active listening skills through telephonic communication to obtain necessary information.

Essential Qualifications

To succeed in this role, you'll need:

• A High School Diploma or GED.
• 1+ year of related experience in the health insurance or healthcare industry, with knowledge of health insurance terminology and medical coding.
• Experience producing medical reports, correspondence, records, patient care information, statistics, medical research, and/or administrative material.
• Proficiency with Microsoft Office applications.
• Experience working in a team environment and establishing relationships with members and providers.
• The ability to work in a fast-paced environment where production and/or quality goals are measured.
• A demonstrated commitment to timeliness, prioritization, accuracy, and attention to detail.

Preferred Qualifications

While not required, the following qualifications will give you a competitive edge:

• Experience working in a remote or hybrid environment.
• Knowledge of healthcare operations and care management processes.
• Certifications or training in medical coding, health insurance, or a related field.

Career Growth Opportunities and Learning Benefits

At Workwarp and Wellmark, we're committed to helping our team members grow and develop their skills. As a Health Services Representative, you'll have access to:

• Ongoing training and professional development opportunities.
• Career advancement opportunities within the organization.
• A collaborative and supportive work environment that fosters learning and growth.

Work Environment and Company Culture

We're proud of our company culture, which prioritizes:

• Flexibility and work-life balance, with the option to work remotely or in a hybrid schedule.
• A collaborative and supportive team environment.
• A commitment to sustainability, innovation, and customer-centricity.
• Competitive compensation and benefits packages.

Compensation, Perks, and Benefits

We offer a competitive salary and a comprehensive benefits package, including:

• A competitive salary structure.
• Opportunities for professional growth and development.
• A comprehensive benefits package, including health, dental, and vision insurance.
• Paid time off and holidays.
• Access to innovative technologies and tools.

Join Our Team: Apply Today!

If you're a motivated and dedicated healthcare professional looking for a rewarding career with a purpose-driven organization, we encourage you to apply for this exciting opportunity. Don't hesitate - apply today and let's build the future together!

Please note that this role will require training for the first 4 weeks at our Des Moines, Iowa office, after which you'll have the option to work remotely or in a hybrid schedule based on your preference.