Clinical Support Representative

Job overview

The Clinical Support Representative role is onsite in Montpelier, VT, with six weeks of in-person training in Berlin, VT; after proficiency is demonstrated, employees within 50 miles are expected onsite Wednesdays and may work remotely the rest of the week. Starting pay is $20.00 per hour. The role supports Blue Cross Blue Shield of Vermont’s Utilization Management department and its clinical review team. The representative verifies member benefits, provider networks, and prior approval requirements for service authorizations in a call-center environment, helping the clinical review team process requests and support member care.

What you'll do

• Verify member benefits, provider networks, and prior approval requirements for authorization of services in a call-center environment.

What we're looking for

Skills & competencies

clinical support representative

bluecross blueshield of vermont

montpelier vt

berlin vt training

utilization management

clinical review

member benefits

provider networks

prior authorization

call center

$20/hr starting pay

monday-friday 8:00-4:30

Work arrangement

• Weekend coverage required

Benefits & perks

• Six-week paid training
• health and vision insurance, employee-free dental coverage, wellness program with a $500 year-end incentive, 401(k) employer match, life and disability insurance, 20 days of combined time off plus 10 paid holidays, tuition reimbursement, student loan repayment, and dependent caregiver benefits.

Why this role

Six-week paid training; after proficiency is demonstrated, employees within a 50-mile radius are expected onsite Wednesdays and may work remotely the rest of the week.

About the employer

BlueCross BlueShield of Vermont is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.