What are the responsibilities and job description for the Membership Admin Acct Spec - Q position at BlueCross BlueShield of Tennessee?
We are looking for a dedicated Membership Administrative Account Specialist to join our Enrollment and Billing team. This role requires overtime during our AEP and OEP periods from October 7, 2025, through March 31, 2026.
In this position, you will become a versatile expert. The primary responsibilities of a Membership Administrative Account Specialist include reviewing and processing potential beneficiaries’ applications (via the Wipro portal) according to Medicare guidelines, maintaining all current beneficiaries’ accounts throughout the year (via Medicare received Transaction codes), conducting some membership calls, and updating policy information (via Facets inquiries and/or emails).
The ideal candidate will have:
- 1 year of Facets experience
- 1 year of Customer Service and/or Research experience
- Ability to manage workload to meet department deadlines
- Medicare Advantage experience is a plus but not required
- Willingness to work overtime as needed
Job Responsibilities
- Implementing appropriate filing and documentation procedures; maintaining all physical and electronic files in current and accurate condition.
- Communicating with underwriters, agents, loss control specialists or any others to both receive and pass on all relevant policy and case information; utilizing information to improve services, anticipate and prevent problems, or suggest improvements.
- Meeting assigned quality and work load expectations; implementing revisions or improvements to procedures, as necessary. Ensure all production, timeliness, and quality standards are met.
- Processing assigned policies and cases according to department procedures and expectations; responding to complaints and inquiries, identifying and resolving difficulties in membership and benefits services.
Job Qualifications
Education
- High School Diploma or equivalent
Experience
- 1 year - Experience in the healthcare industry required
Skills\Certifications
- Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
- Proficient oral and written communication skills
- Proficient interpersonal and organizational skills
Number of Openings Available:
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Tobacco-Free Hiring Statement
To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test. An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.
Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.
