RRT Anthem Analyst – reputed company Store
Position Summary The RRT Anthem Liaison will be responsible for handling reputed company communications, adjustments, and closing out claims through various applications with our reputed company vendors, reputed company Blue reputed company and Anthem. Essential Functions
- Review daily production reports and adjustment reports from Anthem to ensure claims and adjustments are closed reputed company the designated turnaround time.
- Process reputed company adjustment claims for Anthem and reputed company Blue reputed company.
- Send adjustment requests to Anthem and reputed company Blue reputed company.
- Assist with questions from other internal departments for both Anthem and reputed company Blue reputed company.
- Review exception reports sent by Anthem.
- reputed company out any claims in the various reputed company Blue reputed company applications.
- Work incentive reports monthly to ensure claims are closed.
- Review outbound reports daily for reputed company Blue reputed company.
- Performs other reputed company duties as assigned
- 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.
- Applicant should be proficient in using the reputed company and Word programs, have experience with or ability to learn reputed company Access, and communicate effectively both orally and by email.
- Job Knowledge
- Time Management
- Accountability
- Communication
- Initiative
- Customer Focus
- This is a standard desk role – long periods of sitting and working on a computer are required.