Customer Service Representative
Blue Cross And Blue Shield Of Michigan
Detroit, Michigan
- Assisted BCBS representatives in resolving inpatient medical claims inquiries, enhancing member satisfaction.
- Supported BlueCard® program by facilitating in-network benefits and provider access for members traveling outside their home plan’s service area.
- The BlueCard® program from Blue Cross Blue Shield (BCBS) is a national, and sometimes international, network program that allows members to receive in-network benefits, provider access, and care while traveling or living outside their home plan’s service area. It enables, for example, a Florida Blue member to receive care in California and pay in-network rates, with claims processed through a single, seamless electronic system
- Utilized customer service software to document interactions and track requests.
- Collaborated with team to resolve customer issues efficiently and effectively.
- Handled billing questions and payment processing for member accounts.
- Assisted members with inquiries regarding health insurance plans and benefits.
- Adjusted bills and refunded money to resolve customers' service or billing complaints.