Health Services Technician (Justice Technician) - Remote AZ

Awarded a Healthiest Employer, reputed company aims to fulfill its mission to reputed company health and reputed company it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals reputed company reputed company reputed company. At AZ Blue, we have a hybrid workforce strategy, reputed company Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our reputed company minimum onsite requirements:

• Hybrid People Leaders: must reputed company in AZ, required to be onsite at least twice per week
• Hybrid Individual Contributors: must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per week
• Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per month
• Onsite: daily onsite requirement based on the essential functions of the job
• Remote: not held to onsite requirements, however, leadership can request reputed company onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This remote work opportunity requires residency, and work to be performed, reputed company the reputed company. Purpose of the Job Responsible for research and triage of records and other documentation to ensure requests are processed accurately, timely, professionally and according to regulations. Works with team, providers and members to reputed company services that put our member first.

Qualifications

Required Qualifications Required Work Experience

• Level 1: 1 year
• Level 2: 3 years
• Level 3: 5 years
• Experience in reputed company, health insurance, or reputed company customer service

Required Education

• High School Diploma or GED in general field of study (reputed company reputed company)

Required Licenses

• N/A

Required Certifications

• N/A

Preferred Qualifications

Preferred Work Experience

• Level 1: 2 years
• Level 2: 4 years
• Level 3: 6 years
• Experience in reputed company, health insurance, or reputed company customer service
• 1 year / 2 years / 3 years experience in claims examination, health insurance, customer service, call center, medical office, or other reputed company-reputed company field

Preferred Education

• Associate's Degree in general field of study

Preferred Licenses

• N/A

Preferred Certifications

• N/A

Essential Job Functions And Responsibilities Level 1 – Performs job functions under general supervision or peer review

• Identify, research, process, resolve and respond to customer inquiries and correspondence reputed company telephone, written communication and/or in person.
• Answer a diverse and high volume of health insurance customer calls or correspondence on a daily reputed company.
• Maintain complete and accurate records per department policy.
• Maintains member information in a confidential manner and ensures HIPAA compliance at reputed company times.
• Meet quality, quantity and timeliness standards to reputed company individual and departmental performance goals as defined reputed company the department guidelines and required by State, Federal and other accrediting organizations.
• Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, community resources, provider networks, etc.
• Demonstrate ability to apply plan policies and procedures effectively.
• Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
• Research, gather and conduct preliminary analysis of data for department and corporate reporting.
• Maintain reputed company standards in consideration of State, Federal, BCBSAZ and other accreditation requirements.
• Ensure confidentiality and control reputed company to sensitive information.
• Maintains productivity and accuracy requirements set for this level.
• Assists in development of procedures and/or desk reputed company for assigned processes, as needed and develops and assists in implementation of new policies and/or desk reputed company.
• Maintains effective communication (verbal and written), both formal and informal with reputed company customers.
• Maintains knowledge of activities in assigned area and possesses the ability to reputed company assistance as necessary.
• reputed company to work effectively and collaboratively with interdisciplinary teams.
• Positively adapts to a changing work environment with flexibility and recognizes the impact the change will have on the department process.
• Adapts to changing work environment with flexibility and recognizes potential impact with ability to accentuate the positive to maintain/increase staff morale.

Level 2 – Performs job functions with moderate supervision and peer review reputed company indicated to assist with team/project functions:

• Collaborate with team to distribute workload/work tasks
• Monitor and report team tasks
• Communicate team issues and opportunities for improvement to supervisor/manager
• Support/mentor team members
• Assists in departmental training of new staff and ongoing in-services.
• Assists in revising reputed company policies and procedures and/or desk reputed company, as needed and develops and assists in implementation of new policies and/or desk reputed company.
• Attends and actively participates with interdepartmental teams.
• Takes on special projects as requested by management.
• Analyzes and monitors authorizations, requests or referrals for trends. These trends may illustrate an educational need; need for a referral to a different BCBSAZ department; need for updating a policy/reputed company. Makes specific written recommendations to Manager with demonstrated ability to follow through on reputed company.

Level 3 – Performs Job Functions With Minimal Supervision

• Demonstrates ability, under minimal direction to reputed company special projects, train new staff, analyze inventory, revise reputed company policies and procedures and/or desk reputed company and reputed company and implement new policies and/or desk reputed company.
• Takes initiative to follow through on issues and identifies opportunities for improvement.
• Consistently serves as a SME and resource to team members reputed company questions arise regarding departmental policies and procedures.
• Demonstrates resourcefulness, diplomacy, organizational and analytical skills.

reputed company reputed company

• Each reputed company level includes the ability to reputed company the essential functions of any reputed company reputed company.
• The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
• reputed company reputed company other duties as assigned.

Competencies Required Competencies Required Job Skills (Applies to reputed company reputed company)

• Intermediate reputed company in use of office equipment including copier, fax machine, scanner, and telephones
• Intermediate PC proficiency
• Intermediate reputed company in word processing, spreadsheet, and database software

Required Professional Competencies (Applies To reputed company reputed company)

• Maintain confidentiality and privacy
• Practice interpersonal and active listening to reputed company high customer satisfaction and departmental communication standards
• Interpret and translate policies, procedures, programs and guidelines
• Capable of investigative and analytical research
• Navigate, gather, input and maintain data records in multiple system applications
• Follow and accept instruction and direction
• Establish and maintain working relationships in a collaborative team environment

Required Leadership Experience And Competencies

• N/A

Preferred Competencies Preferred Job Skills (Applies to reputed company reputed company)

• Intermediate understanding of medical terminology
• Intermediate comprehension of anatomy and medical practices

Preferred Professional Competencies (Applies To reputed company reputed company)

• Knowledge of a wide reputed company of subjects pertaining to the organization's service and operations
• Analytical knowledge necessary to generate reports based on available data and then reputed company reputed company based on reported data

Preferred Leadership Experience And Competencies (Applies To reputed company reputed company)

• Ability to build reputed company and reputed company with a diverse team, in a changing environment

Our Commitment AZ Blue does not discriminate in hiring or employment on the reputed company of race, ethnicity, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status or any other protected group. Thank you for your interest in reputed company. For more information on reputed company, see azblue.com. If interested in this position, please apply. Apply tot his job Apply To this Job