Independence Blue Cross Work Values

Daily Duties at Independence Blue Cross:

Team Lead for Subscriber Payable Checks Greater the $3,500.00: with 4 Associates on the Team. Objective: To determines if the claim(s) are processed correctly. If the claim(s) are processed correctly, I will instruct Finance to release the check to the Member. If the claim(s) are processed incorrectly, I will instruct Finance to void the check, retract the claim(s) for reprocessing. Created a Standard Operation Procedure Manual for handling the Subscriber Payable Operation. Assisted in implementing a new data base to track checks/claims for the subscriber payable project. Create monthly reports for upper Management Assisted in loading claims into QAS for easier tracking and reports. Other responsibilities during my employment: Reviewed completed claims for processing accuracy and reported detailed feedback to processing. Identify trends and issues regarding specific groups, benefits and department procedures. Assist associates and other processing areas with complex claims processing issues. Audit closed Facility Claims according to IBC Facility Contracts and Facility coding regulations for possible billing and processing errors. Participate in Workgroups effecting ongoing and new audit opportunities. Reviewed completed claims for processing accuracy and reported detailed feedback to process analyst via QAS system. Identify trends and issues regarding specific groups, benefits, and department. Devise SOPs (Standard Operating Procedure) for internal departmental audits. Review and edit desk procedures to maintain processing accuracy. Compile auditing data; generate weekly and monthly reports for senior management Team Lead for High Dollar SubPayable Audits. Assist Associates in Non-Par Processing and Pricing. Liaison for OOA and Local Non-Par processing

What they like about Independence Blue Cross:

The social vibrance of a hiring firm is very important to you. Your ability to make and maintain friendships there is a critical part of your decision. You would likely be dissatisfied with a workplace that is quiet, cold, or otherwise not particularly social. When you investigate a new hiring company, ask recruiters, managers, and potential co-workers about the social life and opportunities there. This is especially important when you are relocating; moving dramatically alters your social sphere both inside and outside the workplace.

Tags

Self Motivated, Detailed, Reliable, Focused, Team Player

Skills

“I am skilled in all lines of business including HMO, IPP, PPO, Medicare and CMM. Extensive knowledge of Blue2, CIS, ITS, MaxMC, MHS, OSCAR, Philprov, Planmate, SLIQ, INSINQ, CMS and Valutech. Proficient in Microsoft Office software including: Access,

These are some of the questions we asked our climbers about their experiences with Independence Blue Cross: