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in Durham, NC
Data Entry Specialist / Insurance Claims Processors Needed!
•30 days ago
Hours | Full-time, Part-time |
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Location | Durham, NC Durham, North Carolina |
About this job
If you enjoy delivering best in class Data Entry / Claims Processing support and are looking for a career, we may have the right place for you! Come to work for Manpower and we'll reward your talents and loyalty by offering highly competitive pay, medical/dental/life/401k benefits and career stability!
As a Claims Specialist Professional for Blue Cross Blue Shield, you are the primary contact to review settled insurance claims in order to determine that payments and settlements have been made in accordance with company practices and procedures! The Claims division at Blue Cross Blue Shield is critical and you could join a wonderful team and become a valued team member.
By using your strong ability to meet or exceed established quality and performance standards, aptitude for determining benefit eligibility on suspended claims and review claims history and other information to determine whether suspended claims should be paid, denied, or sent for medical review - we'd love to have you join the team!
Why will you be a great fit for this position? Because you possess the ability to...
* Respond promptly and accurately to inquiries from other divisions including subscribers, providers, physicians and other commercial insurance carriers regarding claims payments.
* Process, adjust or update various claims payments and payment errors.
* Identify system problems, including documentation of the issue, recommendation of potential solutions, referral to appropriate technical staff and follow-up to ensure resolution.
* Assist management by identifying and analyzing opportunities for improvements in BCBSNC processes, policies and services.
* May coordinate with other insurance carriers and Medicare to determine BCBSNC payment liability.
* Review claims for possible "fraud" and send to Special Investigations Unit for additional investigation.
If you're ready for a wonderful new job, we've got the right opportunity. Do you have the drive and determination to get the job done? Tell us why you're the right person!
Apply now as this employment opportunity won't be available forever!
***In order to remain in consideration for this great employment opportunity, you MUST receive passing test scores on the below assessment.
https://assess.shlonline.com/default?action=url&key=e2ffd85836179f&lang=en_us
Job requirements include:
- 2+ years' experience in heavy data entry / data processing
- Minimum HS Diploma or GED, college degree preferred
If you are interested and able to meet these requirements, apply today and complete the assessment! A recruiter will reach out to you once we receive your test scores!
If you're ready for a wonderful new job, we've got the right opportunity. Apply now as this employment opportunity won't be available forever!
Also: Please create an account at www.manpowerjobs.com to search all of our opportunities that await you!