Jobs
>
Phoenix

    Event Planning and Production Manager - Phoenix, United States - Blue Cross Blue Shield of Arizona

    Blue Cross Blue Shield of Arizona
    Blue Cross Blue Shield of Arizona Phoenix, United States

    2 weeks ago

    Default job background
    Description


    Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.

    AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.


    PURPOSE OF THE JOB


    Order, retrieve, match, research and process medical records received for both pre-payment and post- payment reviews for claims with strong emphasis on confidentiality and PHI.

    Also responsible for updating computer systems.


    QUALIFICATIONS
    REQUIRED
    QUALIFICATIONS

    • Required Work Experience
    • 2 years of general correspondence experience
    • Required Education
    • High-School Diploma or GED in general field of study
    • Required Licenses
    • N/A
    • Required Certifications
    • N/A
    PREFERRED
    QUALIFICATIONS

    • Preferred Work Experience
    • 1 year of experience in medical or health insurance field
    • 1 year of experience using Claims Processing system
    • 1 year of experience using proprietary Blue systems
    • 1 year of telephone experience
    • Preferred Education
    • N/A
    • Preferred Licenses
    • N/A
    • Preferred Certifications
    • N/A

    ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

    • Maintain productivity and accuracy requirements.
    • Order medical records for a variety of lines of business (local, Blue Card, FEP).
    • Receive and research all medical records received to match to appropriate file for processing.
    • Prescreen medical records to determine if necessary information received.
    • Provide back up review aging report for open contacts as directed to ensure timeliness standards are met.
    • Responsible for researching and responding to inquiries.
    • Provides training and mentoring to staff.
    • Participate on special teams and projects as assigned by management.
    • Perform focused quality sampling
    • Create job aids and maintains desk level procedures as needed
    • Request medical records with special attention to confidentiality, PHI, adhering to corporate standards, State and Federal regulations and mandates.
    • Process letter files, reviewing for accuracy and sorting to prepare for mailing.
    • Request medical records for claims. Ensure requests are sent to appropriate Blue Plans.
    • Research error reports
    • Identify and perform research of medical records and other correspondence received in the department.
    • Perform system location moves of pending claims
    • Monitor systems to retrieve medical records
    • Respond to inquires from other Blue Plans related to medical record request questions adhering to strict response time required by the BCBS Association.
    • Retrieve and research phone messages and respond or direct the calls to the appropriate area for resolution. Set up contacts in the system for re-directed calls.
    • Monitor, clipboard and process faxes received for research
    • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
    • Perform all other duties as assigned.

    COMPETENCIES
    REQUIRED
    COMPETENCIES

    • Required Job Skills
    • Intermediate skill using office equipment including fax machines, scanner, and telephones
    • Basic PC proficiency
    • Basic skill in word processing, spreadsheet and database software
    • Required Professional Competencies
    • Maintain confidentiality and privacy
    • Perform investigative and analytical research
    • Establish and maintain working relationships in a collaborative team environment
    • Follow and accept instruction and direction
    • Required Leadership Experience and Competencies
    • N/A
    PREFERRED
    COMPETENCIES

    • Preferred Job Skills
    • Advanced skill using office equipment including fax machines, scanner, and telephones
    • Advanced PC proficiency
    • Advanced skill in word processing, spreadsheet and database software
    • Preferred Professional Competencies
    • Handling of medical records and correspondence
    • Claims Processing and imaging systems
    • Preferred Leadership Experience and Competencies
    • N/A
    Our Commitment


    AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

    Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see If interested in this position, please apply.
    #J-18808-Ljbffr
  • ASSA ABLOY

    Product Manager

    1 day ago

    ASSA ABLOY Phoenix, United States

    **Senior Product Manager** · **Responsibilities**: Gathering, documenting, analyzing and prioritizing product and customer requirements, defining the long-term product vision (3-year) & generation plan, while working closely with engineering, operations, sales, marketing, trainin ...

  • Amex

    Product Manager

    1 week ago

    Amex Phoenix, United States

    **You Lead the Way. We've Got Your Back.** · With the right backing, people and businesses have the power to progress in incredible ways. When you join Team Amex, you become part of a global and diverse community of colleagues with an unwavering commitment to back our customers, ...

  • TriWest Healthcare Alliance

    Product Manager

    13 hours ago

    TriWest Healthcare Alliance Phoenix, United States

    **Profile**: · - We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, *HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only)Veterans, Reservists, Guardsmen and military family members are encouraged to apply**Job Sum ...

  • Auto Pros Collision Center

    Production Manager

    1 day ago

    Auto Pros Collision Center Phoenix, United States

    **Production Manger - $80,000 - $100,000 Salary + Bonuses** · Auto Pros Collision Center is an auto body shop located in Phoenix. The body shop is expanding and seeking 1 additional full-time production manager. · **Compensation**: · - **$80,000 - $100,000 Salary + Bonuses**, bas ...

  • Amex

    Manager - Digital Product Management

    13 hours ago

    Amex Phoenix, United States

    **You Lead the Way. We've Got Your Back.** · With the right backing, people and businesses have the power to progress in incredible ways. When you join Team Amex, you become part of a global and diverse community of colleagues with an unwavering commitment to back our customers, ...

  • Amex

    Manager-digital Product Management

    2 days ago

    Amex Phoenix, United States

    **You Lead the Way. We've Got Your Back.** · With the right backing, people and businesses have the power to progress in incredible ways. When you join Team Amex, you become part of a global and diverse community of colleagues with an unwavering commitment to back our customers, ...

  • Amex

    Digital Product Manager

    6 days ago

    Amex Phoenix, United States

    **You Lead the Way. We've Got Your Back.** · With the right backing, people and businesses have the power to progress in incredible ways. When you join Team Amex, you become part of a global and diverse community of colleagues with an unwavering commitment to back our customers, ...

  • Assetmark

    Operations Product Manager

    4 days ago

    Assetmark Phoenix, United States

    Job Description: · The Job/What You'll Do: · - As the Operations Product Manager, Workflow Automation & Digitization in the Operations & Service organization, you will be an integral member of a team developing industry-leading workflow solutions that provide clients with an easy ...

  • Hecta Data (DBA) Vilwaa

    Manufacturing Production Manager

    1 week ago

    Hecta Data (DBA) Vilwaa Phoenix, United States

    Manufacturing Production Manager · Black Canyon Hwy, Phoenix. · Full-time · Key responsibilities: · 1. Developing and implementing production schedules and ensuring that production targets are met. · 2. Monitoring production processes to ensure efficiency and quality standards (A ...

  • Anumed International

    Production Manager/supervisor

    3 days ago

    Anumed International Phoenix, United States

    Job Title: Production Manager · Company: AnuMed International · Location: 3908 E Broadway Rd Ste 110, Phoenix, AZ 85040 · About Us: · Anumed International is a leading nutraceutical company dedicated to providing high-quality supplements and wellness products to our customers. Wi ...

  • Freedom Forever

    Ground Mount Production Manager

    13 hours ago

    Freedom Forever Phoenix, United States

    **Description** · **Competitive Pay + Benefits **50% Travel is Required** · **We offer an extensive benefits package which includes**: · - ** Medical Insurance**: · - ** Dental Insurance**: · - ** Vision Care Insurance**: · - ** 401K**: · - ** $25,000 life insurance policy fully ...

  • LOFTY INC.

    Manager, Enterprise Product Operations

    1 week ago

    LOFTY INC. Phoenix, United States

    : · Lofty is a high-growth, global SaaS company serving the residential real estate market. Our suite of tools addresses the daily pain points faced by agents, empowering them to launch effective marketing campaigns, track leads' activities, build lasting customer relationships, ...

  • Coffee Support

    Cold Brew Production Manager

    1 day ago

    Coffee Support Phoenix, United States

    **Description** · We are seeking a talented and experienced cold brew manager to join our team. As the cold brew manager, you will be responsible for overseeing the entire cold brew production process, from sourcing high-quality coffee beans to creating perfect brews that our cus ...

  • Wells Fargo

    Lead Product Manager- Enterprise Complaints and

    1 week ago

    Wells Fargo Phoenix, United States

    **Why Wells Fargo**: · This is where your true career begins. We ranked #2 on the 2023 LinkedIn Top Companies list - and #1 among financial services companies - as the best workplace "to grow your career" in the U.S. At Wells Fargo, we support employees' career aspirations and gr ...

  • KTI Key Talent Indicator

    Product Manager

    1 day ago

    KTI Key Talent Indicator Glendale, United States

    KTI Talent Indicator is a talent discovery software platform with AI that offers: talent mapping, assessment, and reskilling services with training to companies. · Location: Glendale, CA - Onsite 4 days a week · Sector: Information Technology (IT) · **Functions** · - The Product ...

  • RAPS PROFESSIONAL SERVICES PRIVATE LIMITED

    Product Manager

    1 week ago

    RAPS PROFESSIONAL SERVICES PRIVATE LIMITED Glendale, United States

    **Role/Title : Product Manager** · **Location : Glendale, CA - Onsite 4 days a week** · **Duration : 6+Months** · **What You'll Do As a Product Manager**: · - The Product Manager will focus on 5 key areas of responsibility: Business Engagement, Project Delivery, Project Managemen ...

  • WITRON Service America

    Production Manager

    1 week ago

    WITRON Service America Tolleson, United States

    **General Summary** · The Production Manager is responsible for coordinating all daily activity related to the safe and efficient operation of WITRON's advanced automated material handling system in order to meet or exceed customer production targets. A successful Production Mana ...

  • AlignTech

    Global Product Manager

    4 days ago

    AlignTech Tempe, United States

    **Join a team that is changing millions of lives.** · Transforming smiles, changing lives. · At Align Technology, we believe a great smile can transform a person's life, so we create technology that gives people the confidence to take on whatever's next. We revolutionized the ort ...

  • Edward Jones

    Product Delivery Manager

    13 hours ago

    Edward Jones Tempe, United States

    **Innovate here. And see your ideas come to life.** · It's an exciting time to work in tech at Edward Jones. We are making massive investments in emerging technologies to improve how we work with our clients and with each other. Relationships are the focus of our business model. ...

  • Acara Solutions, An Aleron Company

    Production Manager

    5 days ago

    Acara Solutions, An Aleron Company Phoenix, United States

    Acara Solutions is seeking an experienced Production Manager who has experience working in high-volume manufacturing environments. This is a salaried direct onsite position at our client's site in Tolleson The salary range is k, DOE. · High volume manufacturing workforce manageme ...