Claims Assistant Job at Blue Cross and Blue Shield of Kansas City
Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include:
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Competitive benefits package with day one eligibility
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Employer covers 90% of monthly premium cost for health, dental and vision plans
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Annual employee bonus program to reward success
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Time away from work including paid holidays, paid time off and volunteer time off
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Professional development courses, mentorship opportunities and tuition reimbursement program
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Robust 401(k) with 50% match and end of year discretionary employer contribution
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Paid parental leave and adoption leave with adoption financial assistance
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Employee discount program
Job Description Summary:
Job Description
- Adjust medical-only claims under supervision
- Monitor reserve accuracy and properly document files
- Processes assigned claims and determines benefits due pursuant to the client contract & state statute; makes timely claims payments and adjustments.
- Communicates claim action/processing with client and appropriate medical contact
- Ensures claim files are properly documented and claims coding is correct.
- Process routine payments and prescriptions medical claims
- Maintains professional client relationships
- Open / process the incoming and outgoing mail as well as scanning incoming mail to the electronic file once it has been processed
- Print and process checks with EOB’s
Minimum Qualifications
- 1 year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred
- Must be proficient in Microsoft Office and bill review software and bill review guidelines
- Strong verbal and written communication skills
- Strong decision making and organizational skills
- Ability to perform processing duties with minimal supervision
- High degree of professionalism and personal presence
- Ability to interact effectively and professionally, and provide exceptional service, both internally and externally at all times
- Must possess and maintain a valid and unrestricted driver's license with proof of insurance.
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