Claims Processor
2 days ago
We are seeking a highly organized and detail-oriented Claims Processor to join our team at CareFirst BlueCross BlueShield. As a Claims Processor, you will play a critical role in reviewing and adjudicating paper/electronic claims, ensuring timely payments, and resolving pending claims.
Key Responsibilities- Examine and resolve non-adjudicated claims to identify key elements of processing requirements based on contracts, policies, and procedures.
- Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums.
- Research and resolve pending claims using automated system processes.
- Collaborate with multiple departments to provide feedback and resolve issues.
- Participate in ongoing developmental training to perform daily functions.
- High School Diploma or GED.
- Less than one year experience processing claim documents.
- Preferred qualifications: less than one year claims processing, billing, or medical terminology experience.
- Demonstrated analytical skill.
- Demonstrated reading comprehension and ability to follow directions provided.
- Basic written/oral communication skills.
- Demonstrated ability to navigate computer applications.
CareFirst BlueCross BlueShield offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Equal Employment OpportunityCareFirst BlueCross BlueShield 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, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
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