Manager of Membership & Billing

About the role

Manages claims and customer service areas. Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 17 Technology Circle, Columbia SC. Sponsorship : This position is not eligible for sponsorship now or in the future.

Responsibilities

• Manages staff responsible for providing excellent customer service and timely and accurate processing of claims or appeals. Ensures department standards for production, timeliness, and quality are met.
• Prepares and reviews management reports. Monitors monthly reports to ensure department standards for production, timeliness, and quality are met. Makes recommendations for process improvements.
• Maintains effective relationships with internal and external customers by assisting with inquiries and resolving issues.
• To Qualify for This Position, You'll Need the Following:
• Required Education:
• Bachelor's
• Degree Equivalency:
• 4 years job related work experience OR Associate's and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree required.)
• Required Work Experience:
• 3 years of insurance experience in claims or appeals processing and customer service.
• 1 year of supervisory/team lead experience OR 1 year of equivalent military experience in grade E4 of above.
• Required Skills and Abilities:
• Strong oral and written communication and organizational skills.
• Excellent customer service skills.
• Good judgment.
• Ability to persuade, negotiate, or influence.
• Proficient spelling, punctuation, and grammar.
• Microsoft Office.
• We Prefer You Have the Following:
• 5 years-of insurance operations experience
• 2 years-of supervisory/team lead experience OR 2 years of equivalent military experience in grade E4 or above (may be concurrent).
• Proven Leadership Experience.
• Strong written and verbal communication skills, with the ability to clearly explain expectations, process changes, and priorities to staff and leadership.
• People Management and Coaching.
• Demonstrated project management and presentation skills.
• Basic business math skills.
• Knowledge of membership and billing systems.
• Demonstrated ability to lead teams through operational change from planning through implementation.
• Experience documenting, organizing, and maintaining operational processes, procedures, and workflows.
• Demonstrated ability to organize team workloads, monitor follow-through, and ensure timely execution of assigned work.
• Experience identifying process gaps and implementing practical improvements to improve quality, timeliness, or consistency.
• Our Comprehensive Benefits Package Includes the Following:
• We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.
• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more
• What We Can Do for You:
• We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
• What To Expect Next:
• After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
• Equal Employment Opportunity Statement
• If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will

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