Claims Processor

Company: Blue Cross Blue Shield of Massachusetts
Location: Hingham
Posted on: January 26, 2023

Job Description:

Ready to help us transform healthcare? Bring your true colors to blue. The successful candidate will work collaboratively within a fast-paced production environment to meet changing business needs and claims processing requirements. Primary duty will be data entry of Fitness, Weight Loss, and medical claims in a timely and accurate manner on behalf of our members. Must exhibit a spirit of flexibility and teamwork to support the success of the organization and personal development goals.Key Responsibilities:+ Consistently achieve desk level quality and productivity standards+ Identify and investigate system discrepancies and follow through with proposed resolution+ Provide a high level of service to both internal and external customers+ Exhibit a spirit of teamwork and contribute ideas for division and company success+ Perform special projects as needed+ Identify system/benefit discrepancies and recommend solutionsQualifications: + Data Entry experience preferred + Working knowledge of RTMS & NASCO+ Demonstrated ability to process a high volume of claims in a fast-paced environment+ Recent work history that supports excellent organization, problem-solving communication, teamwork, and interpersonal skills+ Demonstrated flexibility and willingness to change as business needs change within the organization+ Proven written and verbal communications skills are essential+ PC skills a plusExperience and Education:+ High School diploma or equivalent+ Minimum of one year business experienceMinimum Education Requirements: High school degree or equivalent required unless otherwise noted above LocationHinghamTime TypeFull timeAt Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. We provide a flexible hybrid work model in which roles are designated as resident (on site 4-5 days/week), mobile (on site 1-3 days/week), or eworker (on site 0-3 days/month). Blue Cross Blue Shield of Massachusetts, has a COVID-19 vaccination requirement for building entry. Your offer of employment is dependent upon either being fully vaccinated for COVID-19 or an accommodation based on a disability or sincerely held religious belief, practice, or observance by submitting a request to Human Resources. Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.Our Commitment to YouWe are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

Keywords: Blue Cross Blue Shield of Massachusetts, Boston , Claims Processor, Other , Hingham, Massachusetts