Blue Cross Blue Shield of Vermont
Claims Analyst
This job is now closed
Job Description
- Req#: 476483
- Review all claims data submitted for accuracy and completeness
- Analyze claims to determine appropriate coding for processing. Determine if procedure code is payable according to particular lines of business
- Review provider pricing files to determine allowances for correct payment
- Review, investigate and resolve suspended claims relying on department procedures, using system files as necessary
- Determine the correct level of coding and/or reimbursement for claims relying on department procedures, using system files as necessary
- High school diploma or equivalent is required
- Strong data entry skills required
- Knowledge of medical terminology and medical coding strongly preferred
- Starting pay at $17 per hour
- Salary increases and additional compensation opportunities
- Health insurance (including vision)
- Dental coverage (free to employees)
- Wellness Program
- 401(k) with employer match + automatic employer contribution
- Life Insurance
- Disability Insurance
- Combined time off (CTO) – 20 days per year + 9 paid holidays
- Tuition Reimbursement
- Student Loan Repayment
- Dependent Caregiver Benefits
About the company
Who We Are ----------------- Blue Cross and Blue Shield of Vermont has been a primary part of Vermont’s health care system for more than 30 years, providing thousands of Vermonters with health benefits and services. Indeed, we are an independent, loc...
Blue Cross and Blue Shield of Vermont is looking for a Claims Analyst to join our team. Our company culture is built on an unwavering focus on our members and giving them the best service possible. We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.
REMOTE WORK: Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week.
Claims Analyst Responsibilities
Claims Analyst Qualifications
Claims Analyst Compensation
Claims Analyst Benefits
*The full job description is attached to our ADP job posting at www.bluecrossvt.org/careers.
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