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Blue Shield Customer Service Jobs (NOW HIRING)

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Blue Shield Customer Service information

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How much do blue shield customer service jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for blue shield customer service in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What is a Blue Shield Customer Service job?

A Blue Shield Customer Service job involves assisting members with their health insurance inquiries, including benefits, claims, billing, and policy details. Representatives provide support through phone, email, or chat to ensure members understand their coverage and resolve any issues. Strong communication, problem-solving skills, and a customer-focused attitude are essential for this role.

What are the key skills and qualifications needed to thrive in the Blue Shield Customer Service position, and why are they important?

To succeed as a Blue Shield Customer Service representative, you need strong communication abilities, problem-solving skills, and a general understanding of healthcare insurance policies, usually supported by a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, call center telephony systems, and sometimes proprietary claims processing systems is important. Standout candidates demonstrate empathy, patience, and an ability to remain calm under pressure while addressing member concerns. These qualities are essential to ensuring positive customer experiences, maintaining regulatory compliance, and supporting the overall reputation of Blue Shield.

What are some typical responsibilities of a Blue Shield Customer Service representative during a workday?

As a Blue Shield Customer Service representative, your day is usually spent handling inbound calls or messages from members, assisting with questions about coverage, claims, billing, and provider networks. You will research and resolve customer issues using internal systems, document interactions, and may occasionally follow up with members or healthcare providers as needed. Representatives often collaborate closely with other departments, such as claims and enrollment, to provide accurate and timely support. The work is generally fast-paced, and strong problem-solving and multitasking abilities help ensure that members’ needs are met efficiently and professionally.

More about Blue Shield Customer Service jobs
What cities are hiring for Blue Shield Customer Service jobs? Cities with the most Blue Shield Customer Service job openings:
What states have the most Blue Shield Customer Service jobs? States with the most job openings for Blue Shield Customer Service jobs include:
What job categories do people searching Blue Shield Customer Service jobs look for? The top searched job categories for Blue Shield Customer Service jobs are:
Infographic showing various Blue Shield Customer Service job openings in the United States as of May 2026, with employment types broken down into 20% Full Time, 20% Temporary, and 60% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Senior Clinical Compliance Auditor

Blue Cross and Blue Shield of Mississippi

Flowood, MS • On-site

$68K - $83K/yr

Full-time

Posted 10 days ago


Job description

Healthy Careers Start Here
At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle.
Job Summary:
The Senior Clinical Compliance Auditor serves as the primary clinical reviewer of data analysis findings, referrals, appeals and complaints related to Network Hospitals, Providers, Pharmacies, and other entities or programs suspected of inappropriate billing of claims to Blue Cross & Blue Shield of Mississippi. The incumbent is responsible for selecting, obtaining, coordinating, monitoring, and reviewing medical records and other relevant information for clinical and coding assessment and validation of related billing of services provided to Blue Cross Blue Shield Customers. The Senior Clinical Compliance Auditor collaborates with data analysts, compliance auditors, and the Medical Director to identify aberrant trends in patient care, utilization, and billing practices. The incumbent works with a multidisciplinary team to determine appropriate interventions to address and resolve identified issues. The incumbent prepares clear, detailed findings, reports, and recommendations for corrective action after thorough clinical analysis.
Job-Specific Requirements:
  • Bachelor's degree in Nursing is required
  • Registered Nurse with an unrestricted license in the state of Mississippi is required
  • At least three years of healthcare clinical experience is required
  • Background in Utilization Management or Medical Review is preferred
  • Strong knowledge of health care regulations related to reimbursement and coding is preferred.
  • Knowledge CPT, HCPCS, ICD-10 coding with applicable certifications is required
  • Intermediate knowledge of Microsoft Office, to include experience in Excel, is required
  • Excellent oral and written communication skills with the ability to communicate a clear understanding of results of review finding are required
  • Ability to work with a high degree of accuracy and attention to detail is required
  • Must have the ability to handle information of a confidential nature
  • Must possess excellent organizational skills, including the ability to prioritize multiple tasks and perform them both accurately and simultaneously
  • Must possess strong interpersonal skills with the ability to build strong relationships to encourage trust and open communication

Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.