Associate Claims Advocate - Fargo, United States - Blue Cross and Blue Shield Association

Blue Cross and Blue Shield Association Fargo, United States

3 weeks ago

Full time

Description

All about us

You likely know us as an insurance company, but that's just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It's a mission we take seriously.

We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota.

This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.

Work environment

This opportunity is asked to work full-time in office within our Fargo, ND office location.

This position is eligible for internal and external applications.

Pay Information

The estimated pay range for this role is $ $20.00 per hour. Offers to top candidates are based on various factors such as previous experience, qualifications and internal equity.
Opportunities for continued salary growth through performance-based incentive programs.

Pay Level: 014

A day in the life

The Associate Claims Advocate is responsible for reviewing basic health insurance claims and inquiries and determines whether to return, deny, or pay claims following organizational policies and procedures.

This role performs high volume data entry functions, prepares, sorts, and scans classified documentations and collects missing information by using standard form letters.

Your responsibilities will include

Receives all incoming claims and supporting documents daily, stamps the document with the accurate receipt date, and determines the appropriate action to prepare for automated scanning.
Assures incoming mail and documents are processed as a priority to meet internal service needs and provide efficient customer service.
Prepares, scans and indexes documents per classification.
Enters claims and supporting documentation in electronic platforms. Files, retains, and recycles documents based on retention schedules.
Identifies data issues on claims and follows procedural steps to correct data. Researches discrepancies and populates incomplete information, if necessary.
Applies the appropriate workflow channel for all incoming claims to be processed including the data verification process and entering claims into the system.
Sends notification to the provider or member for resubmission, if necessary.
Supports other functions within the department during periods of high volume demands or special projects, as necessary.
Performs work under direct supervision. Handles basic issues and problems and refers more complex issues to higher-level staff.

What you need to succeed

A High School Diploma or GED.
At least one year of experience with claims processing, data entry, insurance, customer service or related experience is required.
Pays close attention to the details of all work and strives for a high level of accuracy.
Responds positively to a changing environment while maintaining work efficiency.
Sets priorities, goals and timetables to achieve maximum results from available resources and time.
Ability to communicate verbally or in writing with individuals and groups to deliver or exchange information.

Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Benefits and perks

Wellness incentives including well-being lifestyle spending accounts, employee assistance program and employee discounts.
Encouraged paid time off including paid holidays and flexible holidays to use as you wish.
16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
Employee recognition, community initiative events and yearly company outings.
Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
Our core benefits include health, dental, vision and life insurance, short-term and long-term disability and paid parental leave.

Equal opportunity employment

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email

This job posting will be closed 5/8/2024 at 8:00 a.m. (CT). No further applications will be considered.

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