Entry-Level Remote Claims Specialist

Arkansas Blue Cross and Blue Shield; Little Rock (AR); Remote; USD 42,000 - 64,000; Full time

Job summary

Arkansas Blue Cross and Blue Shield is seeking a Claims Specialist to resolve medical claims not automatically adjudicated, ensuring quality and timely processing. The role involves investigating information, communicating with providers, and managing workload during peak periods.

The position requires a high school diploma, with additional coursework or related experience in medical terminology, anatomy, or health insurance. Remote work is available for residents in several states.

Qualifications

• High School diploma or equivalent required.
• 2 years of college coursework or equivalent certification with emphasis in anatomy, medical terminology, math, biology, or related field OR 1 year of related office experience.

Responsibilities

• Process claims that did not auto-adjudicate, ensuring timely and accurate resolution.
• Review contracts and benefits to determine eligibility and resolve processing issues.
• Generate correspondence and complete forms to obtain necessary information.

Skills

Oral & Written Communications

Interpersonal communication

Detail-Oriented

Decision Making

Teamwork

Dependability

Time Management

Researching

Reading Comprehension

Education

High School diploma or equivalent

2 years college coursework or related cert

Job description

Arkansas Blue Cross and Blue Shield is seeking a Claims Specialist to resolve medical claims not automatically adjudicated, ensuring quality and timely processing. The role involves investigating information, communicating with providers, and managing workload during peak periods.

The position requires a high school diploma, with additional coursework or related experience in medical terminology, anatomy, or health insurance. Remote work is available for residents in several states.