Claims Specialist
Arkansas Blue Cross and Blue Shield
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingmedical terminologyanatomymathbiology
Soft Skills
oral communicationwritten communicationinterpersonal skillssound judgementdecision makingdetail-orientedteamworkdependability
Certifications
Claims Assessment