Claims Support Clk I

Blue Cross Blue Shield of MichiganDetroit, MI
Onsite

About The Position

This position is responsible for a variety of clerical duties in support of claims processing which requires a familiarization with standard work routines.

Requirements

  • High school graduate or GED equivalent is required.
  • Six (6) months experience in a high-volume processing area. Ability to use/operate office machines such as desktop PC, calculator, reader printer, hand-held scanner, and photocopier.
  • Knowledge of BCBSM claims flows/techniques including sorting, coding, and data entry, some of which may be specific to department.
  • Knowledge of BCBSM claims processing terminology, some of which may be specific to department.
  • Other related skills and/or abilities may be required to perform this job.

Responsibilities

  • Receives sorts, ages and logs incoming mail/claims.
  • Scans claim for completeness and aged multiple corporate receipt dates requiring priority.
  • Checks basic subscriber, provider and eligibility information.
  • Make corrections to claims.
  • Handles general correspondence.
  • Prepares internal claim forms and GI letters.
  • Adhere to established standard as cited in Service Level Agreement.
  • Process surveys and other seasonal corporate documents.
  • Prep internal documents from various departments for storage.
  • Index claims for retrieval via Content Manager.
  • Perform other related duties as assigned.
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