Allied Benefit Systems
Healthcare Insurance • B2B
Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.
RRT Anthem Analyst
Job not on LinkedIn
October 24
Allied Benefit Systems
Healthcare Insurance • B2B
Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.
📋 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 NowSimilar Jobs
October 24
System Analyst specializing in Information Systems with duties including evaluation and implementation. Focus on gathering requirements and optimizing system management processes.
October 24
Fraud Analyst supporting financial crime operations at Leader Bank. Identifying fraud, processing alerts, and investigating suspicious activity.
October 24
Senior QNXT Configuration Analyst responsible for configuring healthcare applications. Collaborating with teams to ensure compliance and optimal performance in a fully remote role.
October 24
Business Optimization Analyst at Mill Rock Packaging providing clear visibility and analysis of processes. Collaborating across various teams to establish tight processes and tools for business areas.
October 24
IT Business Analyst focusing on optimizing business operations through technology solutions for Esquire. Collaborating with stakeholders to implement and support NetSuite ERP and enterprise platforms effectively.