Interplan Service Specialist

Job Summary

A company is looking for an Interplan Service Specialist.

Key Responsibilities

• Resolve provider and member claims issues by collaborating with internal partners and external stakeholders
• Triage and document customer inquiries, ensuring prompt resolution and compliance with regulations
• Identify and address operational issues related to claims adjudication and provide coaching to other departments

Required Qualifications

• High school diploma or GED
• 3+ years of experience in a related field
• Experience with healthcare claims processing and compliance regulations
• Ability to navigate multiple computer systems and platforms
• Knowledge of Blue Cross Blue Shield practices and policies