Clinical Support Representatives

Remote, USA
Posted Jun 14, 2026
Full-time

Blue Cross and Blue Shield of Vermont is hiring Clinical Support Representatives to work alongside their clinical review team in the Utilization Management department. The role involves verifying member benefits, provider networks, and prior approval requirements in a call center environment.

Responsibilities

  • Verifying member benefits
  • Provider networks
  • Prior approval requirements for authorization of services

Skills

  • Experience working in the medical field as an office assistant, medical coder, or Licensed Nursing Assistant
  • Familiarity with medical terminology

Benefits

  • Health insurance (including vision)
  • Dental coverage (free to employees)
  • Wellness Program with a $500 year-end incentive
  • 401(k) with employer match
  • Life Insurance
  • Disability Insurance
  • Combined time off (CTO) – 20 days per year + 10 paid holidays
  • Tuition reimbursement
  • Student Loan Repayment
  • Dependent Caregiver Benefits
  • And more!

Company Overview

  • Located on a scenic hillside in the central Vermont community of Berlin, Blue Cross and Blue Shield of Vermont has been a primary part of Vermont’s health care system for more than 30 years, providing thousands of Vermonters with health benefits and services. It was founded in 1941, and is headquartered in Washington, Vermont, USA, with a workforce of 201-500 employees. Its website is http://www.bcbsvt.com.

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