Claims Examiner

Job Description Summary
Apply local contract benefits to provider submitted claims.

**Position will start January 11, 2021 and will train and temporarily work remotely from home under our current workplace policy. Once employees return to our onsite work locations, these positions will return to the Topeka office.

Essential Functions
Be able to finalize claims on trained lines of business and contracts.
Analyze system generated edits and use judgement when interpreting guidelines to make referral/denial/payment decisions for professional claims.
Reviews, prepares, creates and/or sends letters, reports, and forms.
Work claim status reports to ensure accurate claims control.
Supports the organization’s quality program(s).
Ability to meet or exceed Performance Competencies.
Meet departmental, contractual, and national performance goals.
Requires constant and intense concentration to complete complex job functions. Work is confining and requires keying at PC up to 80% of the day.

Qualifications
High school diploma or GED required.
Strong organizational skills
Ability to work in a team environment
Ability to maintain low absenteeism
Ability to think independently and analytically.
This position required the ability to process detailed information
By completion of training, must have knowledge of product lines and have the ability to resolve claims edits for those lines.
By completion of training, have working knowledge of multiple systems used for claims processing.

Compensation is $14.98/hour. To apply, go to https://bcbsks.wd1.myworkdayjobs.com/External/job/Topeka/Claims-Examiner_R2020442.

Listing expires on Thursday December 10th, 2020