Claims Specialist

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🔥 10 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🚫👨‍🎓 No degree required

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Blue Cross and Blue Shield of Louisiana

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1934

⚕️ Healthcare Insurance

Healthcare Insurance

Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross Blue Shield Association, offering a range of health insurance products and services in the state of Louisiana. The company provides health, dental, and travel insurance options, including Medicare Advantage plans such as HMO and PPO. They focus on delivering comprehensive healthcare coverage through various plans to meet varying customer needs, while partnering with doctors, hospitals, and clinics to ensure quality care and support. Additionally, the company emphasizes wellness programs, cost-saving opportunities, and accessibility for its members.

📋 Description

• Accurate processing of claims edits • determining primacy for the Coordination of Benefits (COB) • adjusting previously paid claims • initiating procedures to recover funds on overpaid claims • complying with all laws and regulations associated with responsibilities • reviewing, researching, and making necessary updates to claims • communicating with internal and external contacts for sound claim records • researching, investigating, and determining correct order of benefits for payment

🎯 Requirements

• High School Diploma or equivalent required • 6 months of experience in medical claims or health insurance-related customer service • successful completion of BCBSLA adjustment or COB training • Strong analytical ability • oral and written communication skills • human relations skills • Working knowledge of relevant PC software • Certification in Medical Billing or Coding can be used in lieu of experience

🏖️ Benefits

• resources to live well • be healthy • continue learning • develop skills • grow professionally • serve local communities