Blue Cross Blue Shield of Massachusetts

FEP Service Specialist

Blue Cross Blue Shield of Massachusetts(1 month ago)

HybridFull TimeMedior$56,040 - $68,480Healthcare Operations
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About this role

The FEP Service Specialist at Blue Cross Blue Shield of Massachusetts supports the Federal Employee Program by handling provider inquiries and appeals related to claims. The role emphasizes ensuring accurate, timely claims adjudication and contributing to cross-functional process improvement and provider education. It is suited for a detail-oriented, collaborative problem-solver in a fast-paced healthcare/insurance environment.

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Required Skills

  • Claims Adjudication
  • Clinical Research
  • Caseload Management
  • Compliance
  • Customer Service
  • NASCO
  • MHK
  • Critical Thinking
  • Communication
  • Process Improvement

Qualifications

  • High School Diploma
  • College Degree Preferred
Blue Cross Blue Shield of Massachusetts

About Blue Cross Blue Shield of Massachusetts

bluecrossma.org

Blue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App

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