[Hiring] RRT Anthem Analyst @Allied Benefit Systems

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The RRT Anthem Liaison will be responsible for handling all communications, adjustments, and closing out claims through various applications with our outside vendors, Blue Cross Blue Shield and Anthem. • 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. • Perform other related duties as assigned. Qualifications • High School diploma or equivalent required. • Minimum of 3 years medical claims processing experience required. • Experience with the QicLink claims processing system preferred. • Adjustment experience is required. • Jointly Administered Arrangements (JAA) experience is preferred; however, it is not required. • Applicant should be proficient in using the Excel and Word programs. • Experience with or ability to learn Microsoft Access. • Effective communication skills both orally and by email. Requirements • Job Knowledge • Time Management • Accountability • Communication • Initiative • Customer Focus Physical Demands This is a standard desk role – long periods of sitting and working on a computer are required. Work Environment Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. Benefits Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to: • Medical, Dental, Vision, Life & Disability Insurance • Generous Paid Time Off • Tuition Reimbursement • EAP • Technology Stipend Important Notice About Our Hiring Process • All interviews are conducted via video. • No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. • If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. • We never ask for payment or personal financial information during the hiring process. Apply tot his job