Description review
Membership Admin Account Specialist-1
BlueCross BlueShield of Tennessee · United States · back to the listing
HR standards
66/100
needs work
Title ↔ description
61/100
needs work
Reads as
Customer Support
99% confident
What this role officially is
customer service representative — ESCO, the EU occupation classification
Customer service representatives handle complaints and are responsible for maintaining overall goodwill between an organisation and its customers. They manage data regarding customer satisfaction and report it.
Also known as: customer complaints handler, customer feedback representative, customer experience manager, assistant customer service representative, graduate customer service representative, information office worker
How others title the same work
Large employers
- Analista de Customer Service, Delivery Station Customer Support Amazon.com
- Bilingual Technical Customer Support, Ring, Ring Amazon.com
- Happiness Engineer – Customer Support & Success Automattic
- Support Engineer, WordPress VIP Automattic
- Cloud Support Engineer Canonical
Startups
- Customer Success Associate Aqua
- Customer Service Manager Cityfurnish
- Client Support Specialist (Healthcare Facilities - B2B) Clipboard
- Customer Support Engineer (Product / Technical Support) Cogram
What the listing never says
- No pay range published. Candidates cannot tell whether applying is worth their time. Pay transparency
The listing, marked up
Nothing in the wording of this listing tripped a check. The scores above still judge how complete and coherent it is.
We are hiring a Membership Account Specialist at BCBST!
In this role, you will play a critical part in supporting our Medicare membership by ensuring accurate and timely enrollment processing, eligibility maintenance, and issue resolution. You will research and resolve complex membership and enrollment discrepancies, process Medicare transactions in compliance with CMS regulations, and collaborate with internal and external partners to ensure a seamless member experience.
The Membership Account Specialist serves as a subject matter expert for Medicare enrollment and billing processes, supports operational initiatives, analyzes account-related issues, and helps maintain the accuracy and integrity of membership data.
To be successful in this role, you will bring strong analytical, problem-solving, and organizational skills, along with a thorough understanding of Medicare enrollment regulations and membership operations. Ideal candidates are detail-oriented, customer-focused, able to navigate complex scenarios, and committed to delivering accurate, compliant, and high-quality service while supporting operational excellence and positive outcomes for our Medicare members.
We foster a culture where innovation is encouraged, supporting employees with the tools and resources needed to succeed while promoting growth, creativity, and continuous learning.
Note:
· This is a remote, Monday-Friday position working standard business hours.
· Candidates should be comfortable working independently while maintaining strong collaboration with cross-functional teams.
Job Responsibilities
• Implementing appropriate filing and documentation procedures; maintaining all physical and electronic files in current and accurate condition.
• Communicating with underwriters, agents, loss control specialists or any others to both receive and pass on all relevant policy and case information; utilizing information to improve services, anticipate and prevent problems, or suggest improvements.
• Meeting assigned quality and work load expectations; implementing revisions or improvements to procedures, as necessary. Ensure all production, timeliness, and quality standards are met.
• Processing assigned policies and cases according to department procedures and expectations; responding to complaints and inquiries, identifying and resolving difficulties in membership and benefits services.
Job Qualifications
Education
• High School Diploma or equivalent
Experience
• 1 year - Experience in the healthcare industry required
Skills\Certifications
• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
• Proficient oral and written communication skills
• Proficient interpersonal and organizational skills
Number of Openings Available
1Worker Type:
EmployeeCompany:
BCBST BlueCross BlueShield of Tennessee, Inc.Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Originally posted on Himalayas
In this role, you will play a critical part in supporting our Medicare membership by ensuring accurate and timely enrollment processing, eligibility maintenance, and issue resolution. You will research and resolve complex membership and enrollment discrepancies, process Medicare transactions in compliance with CMS regulations, and collaborate with internal and external partners to ensure a seamless member experience.
The Membership Account Specialist serves as a subject matter expert for Medicare enrollment and billing processes, supports operational initiatives, analyzes account-related issues, and helps maintain the accuracy and integrity of membership data.
To be successful in this role, you will bring strong analytical, problem-solving, and organizational skills, along with a thorough understanding of Medicare enrollment regulations and membership operations. Ideal candidates are detail-oriented, customer-focused, able to navigate complex scenarios, and committed to delivering accurate, compliant, and high-quality service while supporting operational excellence and positive outcomes for our Medicare members.
We foster a culture where innovation is encouraged, supporting employees with the tools and resources needed to succeed while promoting growth, creativity, and continuous learning.
Note:
· This is a remote, Monday-Friday position working standard business hours.
· Candidates should be comfortable working independently while maintaining strong collaboration with cross-functional teams.
Job Responsibilities
• Implementing appropriate filing and documentation procedures; maintaining all physical and electronic files in current and accurate condition.
• Communicating with underwriters, agents, loss control specialists or any others to both receive and pass on all relevant policy and case information; utilizing information to improve services, anticipate and prevent problems, or suggest improvements.
• Meeting assigned quality and work load expectations; implementing revisions or improvements to procedures, as necessary. Ensure all production, timeliness, and quality standards are met.
• Processing assigned policies and cases according to department procedures and expectations; responding to complaints and inquiries, identifying and resolving difficulties in membership and benefits services.
Job Qualifications
Education
• High School Diploma or equivalent
Experience
• 1 year - Experience in the healthcare industry required
Skills\Certifications
• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
• Proficient oral and written communication skills
• Proficient interpersonal and organizational skills
Number of Openings Available
1Worker Type:
EmployeeCompany:
BCBST BlueCross BlueShield of Tennessee, Inc.Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Originally posted on Himalayas