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BlueCard Associate

Employer
Blue Cross Blue Shield of ND
Location
Fargo, North Dakota
Salary
Join our team!

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Industry
Office and Administration
Role
Other
Job Type
Long-Term
Hours
Full Time

Job Details

Job Summary

The BlueCard Associate is responsible for the overall research and general processing of claims and inquiries. This position involves a high level of urgency in order to follow specific guidelines set forth by the Blue Cross Blue Shield Association (BCBSA) to ensure compliance standards are consistently met and claims are processed in a time-sensitive and cost-effective manner. In addition, this role will respond to a variety of inquiries by researching and utilizing multiple systems, online resources, BCBSA national program and internal policies.

 

Essential Functions
  • Identifies and reviews claims issues such as pricing, benefits, membership and works diligently to resolve any issues or discrepancies so claims can be effectively processed.
  • Interprets correspondence and inquiries to determine the appropriate action necessary to process and/or provide a response in a manner that is clear and concise.
  • Provides assistance, service and education to all internal and external customers by researching and utilizing multiple systems, online resources, national program and internal policies.
  • Responds to incoming customer service calls by focusing on responding in a manner that is clear and concise.
  • Utilizes critical thinking and reasoning skills to initiate the processing of claim refunds or to make adjustments after a full process review has been completed and appropriately documents such action.

 

Knowledge, Skills and Abilities

Problem Solving and Resolution

Basic

Attention to Detail and Accuracy

Intermediate

Flexibility and Adaptability

Basic

Customer Interaction

Intermediate

Attentiveness and Listening Skills

Intermediate

 

Education Requirements

Required: High School Diploma/GED

Preferred: Associate's

Field(s) of Study: Business, Healthcare Administration or related field

 

Experience Requirements

Required: Minimum of 1 Year

Preferred: Minimum of 2 Years

Experience Details: Minimum of 1 year of customer service or related experience is required.

 

Certification, Licensures & Registration Requirements

Title: N/A

 

 

State or Agency: N/A

 

Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Other Information

Job Posting Policy 6.05

New employees with Blue Cross Blue Shield of North Dakota will be eligible to apply for positions within their assigned department after successfully completing a 90-day review. For positions outside your department, you must attain a minimum of six months of service before you can apply.

Equal Opportunity Employment

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email careers@bcbsnd.com

This job posting will be closed 1/22/2021 at 8:00AM CST. No further applications will be considered.

Company

TWO WORDS – MEMBERS FIRST.

That sums up why we’re here. And according to member satisfaction surveys, 95.6% say we’ve done a great job at maintaining that focus.

With that said, there are still mountains to move. America’s health care system needs an overhaul and Blue Cross Blue Shield of North Dakota is taking a lead role. To accomplish that, we need BOLD people who believe they can make an impact.

Are you ready to shake up an industry?

If you’re passionate about taking on our nation’s number one health care concern, there may be a place for you on one of our teams.

Company info
Website
Location
4510 13th Ave. S.
Fargo
ND
58103
United States

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