Regence Claims Service Analyst I Regence BlueShield of Washington Regence BlueShield of Washington 120 reviews

Regence Claims Service Analyst I

Fulltime Remote – Candidates will need to reside close to the Tacoma, WA office. New hires will be asked to come into the office day one to pick up their equipment. Also, employees will be asked to join on site employee meetings when COVID restrictions are lifted.

Class Start Date: March 15, 2021

Minimum starting pay: $14.50; Maximum starting pay $15.50 DOE

Role will close to new applications: Monday, February 15th

We will be using Microsoft Teams for live virtual training with video capability.

We ask you have High Speed Internet, hard-wired into the modem and a private location at home to train/work from home.

APPLY NOW: https://cambiahealth.wd1.myworkdayjobs.com/External/job/Tacoma-WA/Regence-Claims-Service-Analyst-I_R-350

At Cambia, our values are fundamental to achieving our Cause of transforming the health care industry. They guide our actions and bring diverse perspectives together to improve the health care journey better for those we serve. All eight values are equally important and linked to the others: Empathy, Hope, Courage, Trust, Commitment, Innovation, Collaboration and Accountability. These values are not just words on paper – we live them every day.

Responsibilities & Requirements

Bring your curiosity and excellent analytic skills to the Claims Service Analyst role! As an Claims Service Analyst, you will investigate and apply contract benefits to submitted claims. You will also:

  • Maintain knowledge of all policies and procedures that apply to claims and be able to quickly reference documentation for details.
  • Make informed decisions regarding the disposition of claim this may include; payment or denial of claim, or requests for further information.
  • Perform at a level meeting production requirements and quality standards
  • Resolve claims issues by applying knowledge of medical terminology, ICD-9, CPT coding and other resources.
  • Provide excellent customer service to customers, providers, members, and member representatives.
  • Identify and report any irregularities or trends in claims processing and/or provider billing.
  • Adapt to changes that affect the job, such as contract changes as well as procedure or system changes to ensure correct processing of claims.
  • Organize, maintain and keep readily accessible, all references, documents, policies and procedures to ensure correct application of contract benefits.
  • Perform work in an orderly fashion and provide clear audit trails for ease of reviewing the overall work involved in a case.
  • Comply with /MTM and Consortium standards as they relate to the employee’s responsibility to meet BlueCross BlueShield Association (BCBSA) standards and corporate goals.
  • Contact providers as needed to request additional information.
  • Contribute to the efficiency of department by being flexible and cross-trained on other functions.

Key Qualifications and Experience

  • Claims Analyst would have a high school diploma or equivalent and 1 year office experience preferably in health insurance claims or in a medical office setting or equivalent combination of education and experience.
  • Basic knowledge of medical terminology, CPT and ICD-9 coding preferred.
  • Ability to prioritize and organize workload.
  • Basic math skills.
  • Ability to communicate effectively orally and in writing.
  • Ability to work as part of a team as well as independently.
  • Decision making ability.

Claims Service Analysts work Monday through Friday between 6:00am – 4:30pm. To show our dedication to employee satisfaction, our generous benefit package starts on your first day. Our leadership team is committed to creating a supportive, fun, and empowering environment where you’ll gain skills and experience in an ever-changing health care industry and have a positive effect on your local community.

APPLY NOW: https://cambiahealth.wd1.myworkdayjobs.com/External/job/Tacoma-WA/Regence-Claims-Service-Analyst-I_R-350

Note: Please check your email (including spam and junk mail folders) during the process for important status updates and information.

Job Type: Full-time

Pay: $14.50 – $15.50 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Parental leave
  • Professional development assistance
  • Referral program
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Work Location:

  • Fully Remote

Company's website:

  • https://cambiahealth.wd1.myworkdayjobs.com/External/job/Tacoma-WA/Regence-Claims-Service-Analyst-I_R-350

Benefit Conditions:

  • Only full-time employees eligible

Work Remotely:

  • Temporarily due to COVID-19

COVID-19 Precaution(s):

  • Remote interview process
  • Social distancing guidelines in place
  • Virtual meetings
  • Sanitizing, disinfecting, or cleaning procedures in place

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