RRT Anthem Analyst
Job Description: • Handle all communications, adjustments, and closing out claims through various applications with outside vendors, Blue Cross Blue Shield and Anthem • Review daily production reports and adjustment reports from Anthem • Process all adjustment claims for Anthem and Blue Cross Blue Shield • Send adjustment requests to Anthem and Blue Cross Blue Shield • Assist with questions from other internal departments • Review exception reports sent by Anthem • Close out any claims in the various Blue Cross Blue Shield applications • Work incentive reports monthly to ensure claims are closed • Review outbound reports daily for Blue Cross Blue Shield • Perform other related duties as assigned Requirements: • High School diploma or equivalent required • Minimum of 3 years medical claims processing experience required • Experience with the QicLink claims processing system preferred • Adjustment experience is required • Jointly Administered Arrangements (JAA) experience is preferred; however, it is not required • Proficient in using Excel and Word programs • Experience with or ability to learn Microsoft Access • Effective communication skills both orally and by email Benefits: • Medical • Dental • Vision • Life & Disability Insurance • Generous Paid Time Off • Tuition Reimbursement • EAP • Technology Stipend Apply tot his job