Impactful Healthcare Reimbursement Analyst

Blue Cross and Blue Shield of Kansas; Topeka (KS); On-site; USD 33,000 - 39,000; Full time

Benefits offered by this job

Health insurance

Vision and dental coverage

6 weeks parental leave

Fertility/adoption assistance

2 weeks caregiver leave

401(k) matching up to 5%

Tuition reimbursement

Wellness benefits and discounts

Job summary

Blue Cross and Blue Shield of Kansas is seeking a Reimbursement Analyst for our Topeka, Kansas office. You will coordinate reimbursement activities tied to federal and state government programs, ensuring compliance and accuracy across Medicare and Medicaid processes.

The role supports the department in meeting organizational standards and requires experience in health insurance claims operations or government program reimbursement. Onsite work location in Topeka is indicated.

Qualifications

• Excellent verbal and written communication with internal and external stakeholders.
• Knowledge of medical terminology is preferred.
• Detail-oriented with high accuracy in processing claims and data.
• Ability to use various department systems and tools.

Responsibilities

• Adjudicates complex claims across multiple lines of business with a focus on contract alignment, regulatory compliance, and accuracy.
• Manages Medicare and Medicaid reimbursement activities including verifying accuracy on reimbursement claims and coordinating refund requests.
• Conducts eligibility research and verification.
• Coordinates with stakeholders including government agencies and contractors to resolve claim, eligibility, and reimbursement issues
• Receives and responds to external and internal customer inquiries.
• Provides detailed support and problem resolution to all claims processing areas.
• Completes adjustments as necessary.
• Assists management and ACES system specialists in the identification and correction of errors and problems.
• Coordinates other party liability reimbursement activities for government programs, as performed by claims examiners, adjustment auditors, OPL and payment recovery correspondents.

Skills

Verbal and written communication

Medical terminology

Detail-oriented

Systems proficiency

Education

High school diploma or equivalent

Job description

Blue Cross and Blue Shield of Kansas is seeking a Reimbursement Analyst for our Topeka, Kansas office. You will coordinate reimbursement activities tied to federal and state government programs, ensuring compliance and accuracy across Medicare and Medicaid processes.

The role supports the department in meeting organizational standards and requires experience in health insurance claims operations or government program reimbursement. Onsite work location in Topeka is indicated.