RRT Anthem Analyst
Job Description:
• Handle all communications, adjustments, and closing out claims through various applications with outside vendors, Blue Cross Blue Shield and Anthem
• Review daily production reports and adjustment reports from Anthem
• Process all adjustment claims for Anthem and Blue Cross Blue Shield
• Send adjustment requests to Anthem and Blue Cross Blue Shield
• Assist with questions from other internal departments
• Review exception reports sent by Anthem
• Close out any claims in the various Blue Cross Blue Shield applications
• Work incentive reports monthly to ensure claims are closed
• Review outbound reports daily for Blue Cross Blue Shield
• Perform other related duties as assigned
Requirements:
• High School diploma or equivalent required
• Minimum of 3 years medical claims processing experience required
• Experience with the QicLink claims processing system preferred
• Adjustment experience is required
• Jointly Administered Arrangements (JAA) experience is preferred; however, it is not required
• Proficient in using Excel and Word programs
• Experience with or ability to learn Microsoft Access
• Effective communication skills both orally and by email
Benefits:
• Medical
• Dental
• Vision
• Life & Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend
Apply Now
Apply Now
• Handle all communications, adjustments, and closing out claims through various applications with outside vendors, Blue Cross Blue Shield and Anthem
• Review daily production reports and adjustment reports from Anthem
• Process all adjustment claims for Anthem and Blue Cross Blue Shield
• Send adjustment requests to Anthem and Blue Cross Blue Shield
• Assist with questions from other internal departments
• Review exception reports sent by Anthem
• Close out any claims in the various Blue Cross Blue Shield applications
• Work incentive reports monthly to ensure claims are closed
• Review outbound reports daily for Blue Cross Blue Shield
• Perform other related duties as assigned
Requirements:
• High School diploma or equivalent required
• Minimum of 3 years medical claims processing experience required
• Experience with the QicLink claims processing system preferred
• Adjustment experience is required
• Jointly Administered Arrangements (JAA) experience is preferred; however, it is not required
• Proficient in using Excel and Word programs
• Experience with or ability to learn Microsoft Access
• Effective communication skills both orally and by email
Benefits:
• Medical
• Dental
• Vision
• Life & Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend
Apply Now
Apply Now