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For more than 80 years, Blue Cross and Blue Shield of Texas has helped the communities and families of Texas care for themselves with top-quality, affordable health coverage. Built around a culture of innovation, leadership, performance, engagement, health and wellness - We've grown to become the state's largest health insurer and an employer of choice.
Family Health AssistantRichardson, TXJob Req ID: KNH-1002510
This position will serve as the Single Point of Contact for all member inquiries. This position is responsible for educating members on health care programs to address their personal health needs, engaging the member in discussion of adherence to personal health plans, responding to managed care inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities. Collaborate with providers, families, and patients to ensure member's and provider's needs are met. Provide guidance to members when determining what products best suit their needs. Assist members in assessing tools and decision-making around complex health issues, e.g. coordinate effective medical management. Spend approximately 90percent of the scheduled time on the phone according to business need.
JOB REQUIREMENTS:*Bachelor of Social Work, LVN/LPN, or 4 years of experience in the healthcare industry*Knowledge of medical terminology*Experience coordinating member medical related needs, providing assistance to members, and analyzing member needs*PC proficiency including Microsoft Office applications*Customer service skills*Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues
PREFERRED JOB REQUIREMENTS:*At least 1 year of experience in managed care*Bilingual English/Spanish strongly preferred
Please apply online at: www.bcbstx.com/careers, referencing Job Number KNH-1002510. Previous applicants must reapply.
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Background investigations are required. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
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