Blue Cross Blue Shield of Arizona
Phoenix, Arizona, United States
Provider Network Application Technician
Job Description
Blue Cross Blue Shield of Arizona is a local, independent Blue Cross Blue Shield Association and a not-for-profit health insurance company headquartered in Phoenix. Founded in 1939, the company has more than 1,800 dedicated employees throughout its Phoenix, Tucson, Chandler and Flagstaff offices. Providing health insurance products, services and networks to more than 1 million Arizonans, Blue Cross Blue Shield of Arizona offers various health plans for individuals, families, and small and large businesses. Blue Cross Blue Shield of Arizona also offers Medicare supplement plans to individuals over age 65.
Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering 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 make better health decisions.
Internal Use Only: 13-15
- This is a highly specialized technician position with emphasis on excellence in customer service, attention to detail, quality improvement and analysis. The position will research, process, resolve and respond to provider-related inquiries (both internal and external).
REQUIRED QUALIFICATIONS
Required Work Experience
- 2 year(s) of experience in general business field
Required Education
- High-School Diploma or GED in general field of study
Required Licenses
- N/A
- N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience- 1 year(s) of experience in the health insurance or data reporting and analysis field
- Associate's Degree in general field of study
- N/A
- N/A
Identify, research, analyze, process, resolve and respond to provider-related customer inquiries (internal and external) and correspondence via telephone or written communication
- Generate reporting and analysis to respond to provider inquires or departmental workflows as directed by management
- Communicate with internal and external customers
- Consult and coordinate with various internal departments, vendors and providers to obtain information and ensure resolution of customer inquiries
- Facilitate the resolution of claim issues and/or investigation requests from other departments as directed by management
- Document and record facts in regard to inquiries and correspondence by updating BCBSAZ files and related systems
- Demonstrate and maintain current working knowledge of the required BCBSAZ systems, procedures, forms and manuals
- Analyze provider-related system(s) issues, report findings to management and initiate necessary system correction requests per corporate/departmental workflows
- Assist in special projects when assigned
- Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines. Assist in defining and improving quality standards within the department.
- 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.
- Perform all other duties as assigned.
REQUIRED COMPETENCIES
Required Job Skills
- Intermediate skill in use of office equipment, including copiers, Faxcom, scanner, image retriever and telephones
- Intermediate PC proficiency
- Travel may be required for employees in regional offices
Required Professional Competencies
- Maintain confidentiality and privacy
- Practice interpersonal and active listening to achieve high customer satisfaction
- Compose a variety of business correspondence
- Interpret and translate policies, procedures, programs and guidelines
- Capable of investigative and analytical research; detail-oriented
- Navigate, gather, input and maintain data records in multiple system applications
- Follow and accept instruction and direction
- Ability to work independently
- Establish and maintain working relationships in a collaborative team environment
- Working knowledge of data and systems
- Identify root causes and recommend solutions
Required Leadership Experience and Competencies
- N/A
PREFERRED COMPETENCIES
Preferred Job Skills
- Expanded knowledge of data and systems
Preferred Professional Competencies
- Knowledge of a wide range of subjects pertaining to the organization's service and operations
Preferred Leadership Experience and Competencies
- Self-directing and efficient at setting priorities
- Effective in analyzing and problem solving
- Good organization skills - effective at using resources and arranging files and information in a useful manner
Our Commitment
BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank You
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
Imagine doing life-changing work and helping more than one million Arizonans live healthier and longer lives. Thats the kind of satisfaction youll find when you work here. Our exceptional teams in Phoenix, Tucson, Chandler, and Flagstaff have been transforming healthcare for more than 80 years. Explore what's possible with a career at Blue Cross BlueShield of Arizona