Remote Anthem & BCBS Claims Analyst

Allied Benefit Systems; Chicago (IL); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Life and Disability Insurance

Paid Time Off

Tuition Reimbursement

Employee Assistance Program (EAP)

Technology Stipend

Job summary

Allied Benefit Systems is seeking an Anthem Analyst for the Rapid Response Team to manage communications, adjustments, and closing claims across Anthem and BCBS applications. You will handle daily reports, processing, and responding to internal inquiries while supporting remote operations.

Ideal candidates have at least 3 years in medical claims processing, experience with QicLink, and strong Excel/Word skills.

Qualifications

• Minimum 3 years of medical claims processing experience.
• Experience with the QicLink claims processing system preferred.
• Adjustment experience is required and beneficial.
• Proficient in Excel and Word; able to learn Microsoft Access.
• Strong communication skills via email and orally.

Responsibilities

• Review daily production and adjustment reports to ensure timely closure of claims.
• Process adjustment claims for Anthem and Blue Cross Blue Shield.
• Send adjustment requests to Anthem and BCBS.
• Assist with inquiries from internal departments about Anthem/BCBS.
• Review exception reports from Anthem and close out claims in BCBS apps.
• Work monthly incentive reports to ensure claims are closed.
• Review outbound reports daily for BCBS.
• Perform other duties as assigned.

Skills

Medical claims processing

Adjustments handling

QicLink system

Excel

Word

Microsoft Access

Education

High School diploma or equivalent

Tools

QicLink

Excel

Word

Microsoft Access

Job description

Allied Benefit Systems is seeking an Anthem Analyst for the Rapid Response Team to manage communications, adjustments, and closing claims across Anthem and BCBS applications. You will handle daily reports, processing, and responding to internal inquiries while supporting remote operations.

Ideal candidates have at least 3 years in medical claims processing, experience with QicLink, and strong Excel/Word skills.