Blue Cross of Idaho Profile

POSITION PURPOSE: To establish and maintain enrollment and accounts receivable records for group or individual accounts. Communicate with group representatives, members and applicants regarding all enrollment and billing inquiries. MINIMUM POSITION REQUIREMENTS: Required Experience: * One year in an office environment Required Knowledge, Skills and Abilities KSAs : Skills: * Personal Computer * Ba

POSITION PURPOSE: To supervise a team of Business Analysts and provide business analysis and technical expertise for the implementation and support of clinical applications Care Advance Enterprise and Milliman within the Medical Quality Management Department. Provide expertise, guidance, and training on clinical business applications. Analyze, design and enter into Content Editor and test both the

POSITION PURPOSE: Under limited supervision contribute to the membership, customer service and financial goals of Blue Cross of Idaho by providing the public with health care protection through the sales and retention of individual policies generated by direct marketing campaigns, sales seminars and unsolicited leads. MINIMUM POSITION REQUIREMENTS: Required Experience: * Three 3 years sales experi

POSITION PURPOSE: To develop, implement, and manage the day-to-day operations of the Company's Provider Audit and Special Investigations/Anti-Fraud programs. Achieve provider recoveries consistent with industry norms. Develop a broad presence in the Company and address questions concerning possible fraud and provider billing concerns. MINIMUM POSITION REQUIREMENTS: Required Experience: *Five 5 yea

POSITION PURPOSE: Under limited supervision, support the medical and quality management initiatives through the appropriate payment of claims, inquiries and appeals for all product lines. MINIMUM POSITION REQUIREMENTS: Required Experience: * Five years acute medical surgical nursing * One year of physician procedural coding and/or inpatient and outpatient commercial and Medicare coding * One year