Check with seller BlueCard Associate Fargo

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.
This opportunity is eligible for remote work or a hybrid work arrangement. We empower our employees to find a work style that is best for them. Click Life at Blue | BCBSND_ to learn more._

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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.

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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

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Education Requirements*
Required: High School Diploma/GED
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Preferred: * Associate's

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

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Experience Requirements*
Required: Minimum of 1 Year
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Preferred: * Minimum of 2 Years

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

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Certification, Licensures & Registration Requirements*
Title: N/A

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State or Agency*: N/A

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

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Physical Demands*
Sitting

Constant (90-100%)

Talking

Frequent (60-90%)

Typing/Data Entry

Constant (90-100%)

Use of Computer

Constant (90-100%)

Telephones and Other Electronic Devices

Frequent (60-90%)

Other Information
Important Notice
BCBSND has a vaccination protocol in place that requires any employees who physically work in a BCBSND office or whose role requires direct customer contact to be vaccinated against COVID-19. We respect your choice to get vaccinated (or not) and getting vaccinated is not a condition of employment. If you are not vaccinated, you may work remotely if your role allows for it. If your role does not allow for remote work and you are unable to get the COVID-19 vaccine, there is an exception process available that includes a weekly testing regimen.
Job Posting Policy
Employees new to Blue Cross Blue Shield of North Dakota are eligible to apply for positions within their assigned department after successfully completing 90-days in their role. For positions outside of their department, new employees should attain a minimum of six months of service before applying for a new role. Exceptions to this are acceptable, provided there is good business justification for making the move.
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 3/28/2022 at 8:00AM CST. No further applications will be considered.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Job Type: Full-time

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