Relationship Associate jobs in Camden, NJ

·       Resolves common, complex and escalated issues directly impacting provider and member claims by working with other BCBS Health Care Plans, our members or providers

·       Tracks inquiry information and provides root cause analysis and reports to Management to enable issues to be addressed at a National level

·       Partners with all areas of company in order achieve timely issue resolution and compliance with other BCBS Health Care Plans’ servicing requirements

·       Takes ownership of resolving a partner plan inquiry from start to completion, including when an  inquiry requires assistance of another area

·       Acts as a liaison between IBC and all partner BCBS Health Care Plans to ensure end to end resolution of issues for all claims in accordance with the Inter-Plan Program (IPP) requirements

·       Identifies, fixes and eliminates “operational” issues that are identified as trends/patterns of untimely, inaccurate, non-compliant or inconsistent claims adjudication for our participating providers or partner BCBS Health Care Plans involving multiple system and inquiry platforms

·       Assesses, recommends, coordinates and facilitates process improvement opportunities for the Commercial and Government Operations business units

·       Collects information related to issues and provides recommendations for educational material for members and providers

·       Manages open inventory both onsite and offsite to meet stringent BCBS Association requirements

·       Receives tracks and researches Director level and above escalations for timely resolution in accordance with BCBSA escalation guidelines.  

·       Demonstrated leadership, information driven decision- making, problem solving, organization and planning skills are essential to be successful in this position.

·       Effective presentation and communication skills, both oral and written are essential.

·       Ability to interact effectively with Providers/Partner Plan Staff at all levels and IBC associates at all levels, and across all departments.

·       Ability to organize time effectively to meet responsive turnaround times on customer issues is required.