Claims Examiner I

Blue Cross of Idaho • Meridian, ID

1d

About The Position

Blue Cross of Idaho is seeking a Claim Examiner to review and adjudicate paper/electronic claims. Determine whether to return, deny or pay claims following organizational policies and procedures.

Requirements

• 1-year relevant experience
• Knowledge of medical terminology
• Ability to complete assigned individual tasks within scope
• Research and navigate web-based programs
• Work with detailed-oriented material
• Follow detailed workflow and instructions
• Verbal & Written Communication

Responsibilities

• Review claim and determine denial, acceptance or a need for further investigation.
• Recognize and reports issues and escalates, as necessary.
• Review existing claims for errors and omissions.
• Interpret and applies all business rules, policies and contract.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed