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Claims Processing:
- Own the resolution of pended medical claims through data entry, benefit interpretation, and edit audits.
- Research processing issues, consult internal staff and providers, and route claims to appropriate areas.
- Generate correspondence and complete forms to obtain necessary information.
Skills & Knowledge:
- Complete initial and ongoing training to stay current with processing procedures, benefits, and system changes.
- Use clinical judgment, critical thinking, and strong communication to make sound decisions.
- Meet departmental quality and productivity standards while maintaining confidentiality.
Remote Work:
- Work from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota.
- Enjoy a culture that values wellness, community involvement, and long-tenured employees.
Arkansas Blue Cross and Blue Shield
Arkansas Blue Cross and Blue Shield is a health insurance provider that resolves medical claims and supports member health and wellness. The company is consistently ranked as a best place to work in Central Arkansas, with an average tenure of 10 years and an inclusive culture.