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. Apply for this job