[Hiring] RRT Anthem Analyst @Allied Benefit Systems

Role Description

The RRT Anthem Liaison will be responsible for handling all communications, adjustments, and closing out claims through various applications with our outside vendors, Blue Cross Blue Shield and Anthem.

• Review daily production reports and adjustment reports from Anthem to ensure claims and adjustments are closed within the designated turnaround time.
• 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 for both Anthem and Blue Cross Blue Shield.
• 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.

Qualifications

• 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.

Requirements

• Job Knowledge
• Time Management
• Accountability
• Communication
• Initiative
• Customer Focus

Physical Demands

• This is a standard desk role – long periods of sitting and working on a computer are required.

Work Environment

Remote work environment with a remote-friendly culture offering flexibility and comfort of working from home. Reliable internet service is essential for staying connected and productive.

Benefits

• Competitive Benefit Package including Medical, Dental, Vision, Life & Disability Insurance.
• Generous Paid Time Off.
• Tuition Reimbursement.
• EAP.
• Technology Stipend.