[Hiring] Institutional Reimbursement Analyst II @Horizon Blue Cross Blue Shield of New Jersey

Role Description

Resolve process inquiries initiated by hospitals and ancillary providers. May also perform necessary tasks on-site.

Responsibilities

• Review and compile monthly, quarterly, and annual reports on quality statistics in order to provide recommendations for process improvement and best practices.
• Partner with facility employees to identify and bridge financial gaps, i.e.; resolving open Accounts Receivables (ARs), claim payment issues, etc.
• Participate in regular internal/external meetings for purposes of calibrations, trends, best practice sharing, identify process improvements, and streamline claims processes.
• Perform other related tasks as assigned by management.

Qualifications

• High School Diploma/GED required
• Requires a minimum of two to four (2-4) years experience in the healthcare industry.

Requirements

• Requires experience with facility reimbursements.
• Claims processing experience required.
• BlueCard experience strongly preferred.
• Strong Customer Service skills.
• Strong PC skills.
• Analytical Thinking, Critical Thinking, Organizational Skills and strong Written Communication Skills.

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement