This job was posted by https://idahoworks.gov : For more information,please see: https://idahoworks.gov/jobs/2153083 Blue Cross of Idaho isseeking a Claims Examiner I. This person will Reviews and adjudicatespaper/electronic claims. Determines whether to return, deny or payclaims following organizational policies and procedures.
This is an onsite position at our Meridian, Idaho locationRequired Experience:
1 years of health industry or relevant experience
Responsibilities:
Reviews claim and determines denial, acceptance, or a need forfurther investigation.Recognizes and reports issues and escalates, as necessary.Reviews existing claims for errors and omissionsInterprets and applies all business rules, policies, and contracts.Perform other duties and responsibilities as assigned.Reasonable accommodations
To perform this job successfully, an individual must be able to performeach essential duty satisfactorily. The requirements listed above arerepresentative of the knowledge, skill and/or ability required.Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions.
We are an Equal Opportunity Employer and do not discriminate againstany employee or applicant for employment because of race, color, sex,age, national origin, religion, sexual orientation, gender identity,status as a veteran, and basis of disability or any other federal, stateor local protected class.