Claims Processing Analyst - Pasadena California

Company: VirtualVocations
Location: Pasadena, California
Posted On: 02/03/2025

A company is looking for an RRT Anthem Analyst responsible for managing communications, adjustments, and closing claims through various applications.



Key Responsibilities

Review daily production and adjustment reports to ensure timely claim closures
Process adjustment claims for Anthem and Blue Cross Blue Shield
Assist internal departments with inquiries related to claims and adjustments


Required Qualifications, Training, and Education

High School Diploma or Equivalent required
Minimum of 5 years of claims processing experience, preferably with QicLink
Adjustment experience is required
Experience with Jointly Administered Arrangements (JAA) is preferred
Proficiency in Excel and Word; ability to learn Microsoft Access More...

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