Research and Train Spec

Job Summary

The Research and Training Specialist is responsible for conducting research for complex billing and payment inquiries and providing information and facts to members. This position also trains and audits employees on operational processes, policies and procedures within the department to meet quality assurance and productivity standards. 

Essential Functions

• Conducts research for complex internal and external billing and payment inquiries.
• Researches inconsistencies with billing or systems errors by reviewing current or purged records, then provides communication to effectively relay research and facts.
• Provides frontline customer service assistance over the phone.
• Conducts one-on-one training with new and existing employees regarding department procedures, policies and established guidelines. Assists with updating training materials and notifies and instructs internal staff of changes.
• Conducts quality assurance audits of daily tasks including but not limited to: refunds, premium billing and correspondence documentation.
• Conducts regular one-on-one meetings with service team members to review findings and provides feedback to leadership on monitoring results.
• Processes daily and monthly finance and cancellation reports. Researches and processes non-payment cancellations of individual plans and any check requests from various outside entities.
• Performs manual updates, report investigation and resolution.
• Serves as a resource for internal and external customers and follows-up on directives that may affect daily operations.
• Participates in cross-functional meetings and/or workgroups.

Knowledge, Skills and Abilities

Presentation Skills

Intermediate

Customer Interaction

Intermediate

Attention to Detail and Accuracy

Intermediate

Prioritization and Organization of Work

Intermediate

Collaboration

Basic

Problem Solving and Resolution

Basic

Education Requirements

Required: High School Diploma/GED

Preferred: Associate's

Field(s) of Study: Business, Education, Communications, Healthcare or related field

Experience Requirements

Required: Minimum of 3 Years

Preferred: Minimum of 5 Years

Experience Details: Minimum of 3 years of related experience is required, of which 1 year in within the division is required.

Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Other Information

Job Posting Policy 6.05

New employees with Blue Cross Blue Shield of North Dakota will be eligible to apply for positions within their assigned department after successfully completing a 90-day review. For positions outside your department, you must attain a minimum of six months of service before you can apply.

Equal Opportunity Employment

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email careers@bcbsnd.com

This job posting will be closed 3/29/2019 at 8:00AM CST. No further applications will be considered.