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BlueCard Associate

Company: Noridian Healthcare Solutions
Location: Fargo
Posted on: March 16, 2019

Job Description:

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.

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.

    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
    Education Requirements
    Required: High School Diploma/GED

    Preferred: Associate's Field(s) of Study: Business, Healthcare Administration or related field
    Experience Requirements
    Required: Minimum of 1 Year

    Preferred: Minimum of 2 Years Experience Details: Minimum of 1 year of customer service or related experience is required.
    Certification, Licensures& Registration Requirements
    Title: N/A State or Agency: N/A
    Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

    Other Information

    Job Posting Policy 6.05

    New employees with Blue Cross Blue Shield of North Dakota will be eligible to apply for positions within their assigned department after successfully completing a 90-day review. For positions outside your department, you must attain a minimum of six months of service before you can apply.

    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 3/19/2019 at 8:00AM CST. No further applications will be considered.

    Keywords: Noridian Healthcare Solutions, Fargo , BlueCard Associate, Other , Fargo, North Dakota

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