RRT Anthem Analyst
full-time•Chicago•$48k - $50k
About this role
Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $48,000.00 - $50,000.00 SalaryJob Category: ClaimsPOSITION SUMMARY:
The RRT Anthem Liaison will be responsible for handling all communications, adjustments, and closing out claims through various applications with our outside vendors, Blue Cross Blue Shield and Anthem.
ESSENTIAL FUNCTIONS:
Review daily production reports and adjustment reports from Anthem to ensure claims and adjustments are closed within the designated turnaround time.
Process all adjustment claims for Anthem and Blue Cross Blue Shield.
Send adjustment requests to Anthem and Blue Cross Blue Shield.
Assist with questions from other internal departments for both Anthem and Blue Cross Blue Shield.
Review exception reports sent by Anthem.
Close out any claims in the various Blue Cross Blue Shield applications.
Work incentive reports monthly to ensure claims are closed.
Review outbound reports daily for Blue Cross Blue Shield.
Performs other related duties as assigned
EDUCATION:
High School diploma or equivalent required
EXPERIENCE AND SKILLS:
Minimum of 3 years medical claims processing experience required.
Experience with the QicLink claims processing system preferred.
Adjustment experience is required.
Jointly Administered Arrangements (JAA) experience is preferred; however, it is not required.
Applicant should be proficient in using the Excel and Word programs, have experience with or ability to learn Microsoft Access, and communicate effectively both orally and by email.
POSITION COMPETENCIES:
Job Knowledge
Time Management
Accountability
Communication
Initiative
Customer Focus
PHYSICAL DEMANDS:
This is a standard desk role – long periods of sitting and working on a computer are required.
WORK ENVIRONMENT:
Remote
Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.
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Important Notice About Our Hiring Process
To keep your experience safe and transparent, please note:
All interviews are conducted via video.
No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager.
If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process.
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Qualifications
What you'll do
- The RRT Anthem Liaison will handle communications, adjustments, and closing out claims with outside vendors like Blue Cross Blue Shield and Anthem. This includes reviewing reports, processing claims, and assisting internal departments with inquiries.
About Allied Benefit Systems
Allied is a national healthcare solutions company that works with organizations who choose to take control of their healthcare. We customize employer self-insurance benefits to align with individual choice and organizational need while integrating medical management innovations and cost-control strategies. With healthcare designed for people, employers never have to choose between price and the best-fit insurance products to protect employees and their families.
Allied’s philosophy is to create a culture of health for our member organizations and their employees beyond simple, medical health. We integrate administrative services, care solutions and analytics to achieve better clinical, behavioral and social patient outcomes.
Allied’s programs and benefit services are designed and structured to infuse value on every front – for employers and HR departments, for plan members and their families, for healthcare providers, and for us. We’re in this together, committed to your future.
Ready to join Allied Benefit Systems?
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Frequently Asked Questions
What does Allied Benefit Systems pay for a RRT Anthem Analyst?
Allied Benefit Systems offers a competitive compensation package for the RRT Anthem Analyst role. The salary range is USD 48k - 50k per year. Apply through Clera to learn more about the full compensation details.
What does a RRT Anthem Analyst do at Allied Benefit Systems?
As a RRT Anthem Analyst at Allied Benefit Systems, you will: the RRT Anthem Liaison will handle communications, adjustments, and closing out claims with outside vendors like Blue Cross Blue Shield and Anthem. This includes reviewing reports, processing claims, and assisting internal departments with inquiries..
Is the RRT Anthem Analyst position at Allied Benefit Systems remote?
The RRT Anthem Analyst position at Allied Benefit Systems is based in Chicago, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the RRT Anthem Analyst position at Allied Benefit Systems?
You can apply for the RRT Anthem Analyst position at Allied Benefit Systems directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.