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Health Support Coordinator
BlueCross BlueShield of Minnesota | |
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April 18, 2024 | |
About Blue Cross
Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. *Core hours for position are 7:00 AM to 3:30 PM. This is a remote position but must live in Minnesota or bordering states.* How Is This Role Important to Our Work?The Health Support Coordinator (HSC) is a member of the Blue Cross Blue Shield of Minnesota (BCBSMN) Care Management (CM) team and is responsible for cross-functional support within the CM department. In this role, the Health Support Coordinator provides moderate to advanced support to CM clinicians with their utilization management, case management, and disease management activities, with the processes currently in place for medical, surgical, and behavioral health. This position will interact with members, providers and other stakeholders .A major responsibility will be to provide customer service to both internal and external customers by telephonic or through written inquiries which typically involve reviewing prior authorizations, admission notifications, concurrent and post-service (pended claim) review requests, program referrals, work queue management, and benefit/eligibility for case management, disease management, and utilization management requests/programs. Work involves learning and assisting with the implementation of new workflow processes, prioritizing and providing referrals to health coaches for member outreach, and providing initial non-clinical triage functions for requests within Care Management. A Day in the Life:
Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic. Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talent.acquisition@bluecrossmn.com. All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. |