policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives coaching from leadership.
Required participation in ongoing developmental training to performing daily functions. Completes productivity daily data that is used by leadership to compile performance statistics.
Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc. Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions. QUALIFICATIONS: Education Level: High School Diploma or GED. Experience: Less than one year experience processing claim documents. Preferred Qualifications: Less than one year claims processing, billing, or medical terminology experience. Knowledge, Skills
and Abilities (KSAs) Demonstrated analytical skills. Demonstrated reading comprehension and ability to follow directions provided.
Basic written/oral communication skills. Demonstrated ability to navigate computer applications. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. Salary Range: $30,600 - $56,100 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed.
This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location.
In addition to your compensation, Care First offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department NASCO Claims Operations Equal Employment Opportunity Care First Blue Cross Blue Shield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, interaction, interactionual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply Please visit our website to apply: /careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear.
Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U. S. without Sponsorship#LI-CT1 PDN-9ae5d1fe-1fdf1-0f3acfb13c72
Insurance jobs refer to a variety of roles within the insurance industry, including positions such as actuaries, underwriters, claims adjusters, insurance agents, and customer service representatives. These jobs are characterized by their focus on evaluating risks, determining policy terms, managing claims, selling insurance products, and providing customer support. Notable features of insurance careers include a blend of analytical and interpersonal skills, opportunities for professional growth, and the importance of staying updated with legal and regulatory changes. Insurance professionals often play a crucial part in helping individuals and businesses mitigate financial risks through tailored insurance solutions.
