Claims Support Clk I

Blue Cross Blue Shield of Michigan•Detroit, MI

2d•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. 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.

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.