[Remote] RRT Anthem Analyst

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Note: The job is a remote job and is open to candidates in USA. Allied Benefit Systems is a company that emphasizes remote work flexibility. They are seeking an RRT Anthem Liaison responsible for managing communications and claims processing with vendors such as Blue Cross Blue Shield and Anthem, ensuring timely closure of claims and adjustments.


Responsibilities

  • Review daily production reports and adjustment reports from Anthem to ensure claims and adjustments are closed within the designated turnaround time.
  • 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 for both Anthem and Blue Cross Blue Shield.
  • 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.
  • Performs other related duties as assigned

Skills

  • Minimum of 3 years medical claims processing experience required
  • Adjustment experience is required
  • Applicant should be proficient in using the Excel and Word programs
  • Experience with or ability to learn Microsoft Access
  • Communicate effectively both orally and by email
  • Experience with the QicLink claims processing system preferred
  • Jointly Administered Arrangements (JAA) experience is preferred; however, it is not required

Education Requirements

  • High School diploma or equivalent required

Benefits

  • Medical
  • Dental
  • Vision
  • Life & Disability Insurance
  • Generous Paid Time Off
  • Tuition Reimbursement
  • EAP
  • Technology Stipend

Company Overview

  • Allied offers insurance products, self-insurance solutions, custom insurance and healthcare solutions to the individuals and organizations. It was founded in 1980, and is headquartered in Chicago, Illinois, USA, with a workforce of 501-1000 employees. Its website is https://alliedbenefit.com.

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