Claims Specialist
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Job Description
Claims Specialist resolving medical claims that do not auto-adjudicate for Arkansas Blue Cross. Timely and accurate handling of claims processing along with necessary investigations.
Responsibilities:
- The Claims Specialist resolves medical claims that are not automatically adjudicated by the claims processing system in a timely and accurate manner according to divisional standards of quality and productivity.
- Resolution may include additional investigation or communication in order to obtain necessary information to complete the claim.
- Outside issues such as peak filing season, systems down time, inclement weather, holidays, and absenteeism may directly affect the volume of work for each Specialist.
Requirements:
- High School diploma or equivalent.
- Minimum two (2) years' college coursework (48 semester hours) or other equivalent certification with an emphasis in anatomy, medical terminology, math, biology, or related field.
- OR minimum one (1) year of related office experience such as claims processing, health insurance, or medical office.
- Must pass company proficiency test: Claims Assessment
- Oral & Written Communications
- Strong Interpersonal skills
- Sound Judgement
- Decision Making
- Detail-Oriented
- Teamwork
- Dependability
Benefits:
- Tuition reimbursement.
- Club Blue, a free, onsite gym to encourage exercise.
- Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating.
- Incentives for wellness education and exercise
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