Horizon Blue Cross Blue Shield Of New Jersey Work Values

Daily Duties at Horizon Blue Cross Blue Shield Of New Jersey:

• Responsible for collecting, tracking, analyzing, and trending data, make recommendations and solutions • Participated in cross-organizational work flow meetings • Educated members on prescription and medical benefits • Processed Medicare Advantage and HMO claims • Processed Coordination of Benefits claims • Complied policies and guidelines along with investigative documents for appeal committees regarding prescription drug denials and medical denials • Ensured timely handling of 30-day and 60-day appeals, as well as Expedited Medicare Advantage member appeals

What they like about Horizon Blue Cross Blue Shield Of New Jersey:

A hiring company that offers alternative approaches to pay, performance bonuses, and/or equity in the firm is very attractive to you. You're generally less interested in working for an organization offering only traditional, salary-based compensation, one with limited opportunity to acquire equity in the firm, or one that does not actively promote skill development. In addition, you are more likely to choose a company that offers a variety of internal career options, with defined career paths. You view the learning of new skills and development of your expertise as key to your career advancement. These aspects of an organization may become even more important to you as you progress in your field, and are especially critical if you change career or occupation.

Tags

Managed Care, Medicare Advantage, Project manager, Provider relations, Manager, Analyst, business owner, leader, Strategize, Microsoft office Excel, MS Office Project 2007, MS office Powerpoint

Skills

Presentation, Ecommerce Strategy and digital marketing channels optimization - SEO, SEM, email, affiliates - for high-profile accounts., Technology Solutions, Software Implementation, Requirements Analysis & Specification, Leadership

These are some of the questions we asked our climbers about their experiences with Horizon Blue Cross Blue Shield Of New Jersey: