Claims Processor

We are seeking a highly skilled Claims Processor to join our team at Blue Cross and Blue Shield of Louisiana. As a Claims Processor, you will be responsible for researching and verifying complex claims information to ensure accurate and timely processing of claims.

• Reviews and corrects scanned claims documents upon receipt
• Enters coded information, checks claims for completeness and accuracy of information prior to final entry
• Identifies and resolves inconsistencies, and appropriately returns claims requesting missing information
• Consistently researches procedural questions using supporting documentation
• Maintains and records information necessary for accurate recording and calculation of production

• High School Diploma or equivalent required
• Associate's degree preferred
• 1 year of related clerical or data entry experience required
• Medical office or medical coding diploma can be used in lieu of the one year of experience
• Claims processing or claims coding experience preferred

• Medical coding training preferred
• Must be able to enter data at 4000 keystrokes per hour
• Must be able to demonstrate critical thinking and problem solving skills
• Familiarity with medical and health insurance terminology preferred

This role is performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting.