At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.
Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for forward-thinking professionals like you to join us in delivering on it!
As a member of Team Blue, you’ll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.
This position is responsible for receiving inquiries into the department, determining if a medical or pharmacy review decision is required, coordinating authorizations for review, completing the screens documentation as well as completing the necessary correspondence between internal & external customers via various means of communication. These inquires can come in a variety of sources, such as telephone, faxes, electronically and in paper. This role is responsible for ensuring medical records are handed appropriately and distributed accurately. This individual is the authorization subject matter expert for the department, can handle confidential information in confidence, & is able to provide a high level of customer service at all times. This position does not include activities that require evaluation or interpretation of clinical information.
What you'll do:
To be considered for this position you must have:
The strongest candidates for this will also possess:
Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.
We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.
Blue Cross and Blue Shield of Nebraska is an Equal Opportunity /Affirmative Action Employer - Minorities/Females/Disabled/Veterans
Date Posted | December 14, 2024 |
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Date Closes | February 12, 2025 |
Located In | Omaha, NE |
Job Type | Full-time Employee |
Compensation | Salary, Varies |
Shift | Custom |
SOC Category | 31-9099.00 Healthcare Support Workers, All Other |
Zipcode | 68106 |
Remote | Yes |
This job offers the following benefits
This job requires the following skills
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