Blue Cross Blue Shield

Dental Service Representative (Customer Service/Call Center) | Operations

Posted by: Blue Cross Blue Shield of Massachusetts
Hingham, | Junior Level | Brand Side

Ready to help us transform healthcare? Bring your true colors to blue. 

BCBSMA is seeking a new Dental Service Representative for our elite Dental Operations Division in Hingham, MA!

We are looking for a Dental Service Representative (Customer Service/Call Center) to work in our Dental Information Center to resolve telephone and written dental provider eligibility, benefit and claims-related inquiries in a fast pace, results driven, inbound call center. The Dental Service Representative (Customer Service/Call Center) will be responding to provider benefit-related issues and questions, responding to questions on corporate and dental policies and guidelines, timely filing, account receivables, and claims processing. The Dental Service Representative (Customer Service/Call Center) will represent Dental Provider Services in a positive and professional manner through appropriate telephone techniques and written responses.


  • Assess, identify, and resolve a provider and / or partner internal inquires in a timely and professional manner.
  • Resolve provider inquiries within the departmental quality and business metric goals established.
  • Research and handle complex requests in an appropriate time frame with effective follow-up.
  • Review and manage personal inventory, in a timely manner, including aged inquiries.
  • Communicate in a clear and concise manner to providers’, peers and all levels of leadership.
  • Contribute to the achievement of divisional and corporate goals.
  • Comply with corporate, division, and team policies and guidelines.
  • Educate providers’ on electronic technology and track trends for process improvements.
  • Continually develop telephone techniques and research skills through self-assessment and constructive feedback.
  • Monitor performance indicators in relation to individual, team, and divisional goals.
  • Participate in workgroups and attend meetings to represent the division as required.
  • Share innovative and creative solutions that result in increased levels of provider satisfaction.
  • Foster a team based environment by participating in various activities that lead to Associate support and provider satisfaction.


  • Minimum HS Diploma or GED is required
  • At least 1 year experience working in a direct contact, customer service environment preferred
  • Stellar attendance and punctuality
  • Dental Call Center experience, highly desired
  • Existing knowledge of dental clinical policy is preferred
  • Strong navigational skills with current knowledge of technology (RTMS, HURN, BSC, OLB, Blue Images, Transaction Manager, etc) are preferred.
  • Strong verbal and written communication skills in addition to being a team player are a must
  • Must be self-motivated and possess strong organizational and multi-tasking abilities in order to meet strict guidelines.
  • Must be able to provide service designed to meet the customer’s needs, showing empathy and the ability to apply reasonableness.
  • Must have a personal commitment to high quality performance through integrity, accountability, compassion, and teamwork.


  • Competitive Pay, Benefits, 401K, Pension & More!
  • Required 90-Day Training Program; Must be available to start on Monday May 20, 2019
  • Daytime Work Hours: Monday-Friday 8:30AM-4:30PM
  • No weekends or holidays!
  • Free parking on our Hingham campus!
  • Professional development & career opportunities at BCBSMA after 12 months of service
  • Be a part of an organization that celebrates and engages in diversity and inclusiveness


Time Type
Full time

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