Collections Claims Analyst I

Job Opportunity At Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

This position is responsible for researching, reviewing, and resolving money sent to BCBSMN from providers, subscribers, other Blue Plans, and / or other sources. You will collaborate with numerous departments within Blue Cross, as well as third party vendors used for collections and payment integrity audits.

Your Responsibilities

• Research and determine how money is to be applied to the claim.
• Ability to determine if a claim is ITS, SSU, FEP, and / or possible fraud issue.
• Ability to collaborate with other BCBSMN departments such as Treasury, COB, Membership, Government, Customer Service, and / or Provider Services.
• Ability to work with CMS and COR to accurately post the monies received by BCBSMN.
• Must have a working knowledge of COB types.
• Ability to manually price a claim.

Required Skills and Experience

Compensation and Benefits : Pay Range : $21.00 - $23.86 - $28.63 Hourly Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job. We offer a comprehensive benefits package which may include : Medical, dental, and vision insurance Life insurance 401k Paid Time Off (PTO) Volunteer Paid Time Off (VPTO) And more To discover more about what we have to offer, please review our benefits page.

Blue Cross and Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.