Analysis Skills, Billing, Claims Processing, Communication Skills, Cost Control, Customer Experience, Data Analysis, Finance, Healthcare, Interpersonal Skills, Microsoft Access Database, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Operational Audit, Operational Support, Power BI, Problem Solving Skills, Process Improvement, Quality Assurance, Root Cause Analysis, Sales, Spreadsheets, Technical Leadership, Testing, Trend Analysis
About the Hiring Department:
The Operational Readiness Team drives business process improvements optimizing people process and technology to improve customer experience and realize meaningful cost containment.
Co-op Job Description:
Support the Operational Readiness Team with analytics, quality assurance testing and reporting, tracking and trending of issues to effectuate Business Optimization & Cost Containment for the organization.
- Investigate claims processing and requests claims adjustments for AmeriHealth member and provider appeals.
- Evaluate billing and enrollment challenges to determine root cause and resolution.
- Perform root cause analysis to determine appropriate issue resolution across enterprise
- Develop spreadsheets for tracking and trending issues/business challenges
- Analyze claims utilization data and identify areas for cost savings improvement.
- Research inquiries concerning claims, billing and enrollment.
- Provide technical guidance and analytical claims support for various AHNJ business units including but not limited to Health Services, Sales Finance, Network Services and Product.
- Support cost containment projects and corporate initiatives by participating on various project teams.
- Assist with identifying par and non-participating provider issues and work closely
- Assumes additional duties as requested.
Required Skills:
- Working knowledge of all Microsoft Office especially Outlook, Word, Excel, PowerPoint and Access.
- Preferred Power BI skills
- Interpersonal and effective communication skills of significant value.
Accepted Majors:
- Business
- Population Health
- Analytics
Classification:
- Junior or Senior undergraduate students
- Recent graduate (must be within one year or less of the program start date)
Minimum GPA:
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
B
Blue Cross and Blue Shield Association
At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
2,000 to 2,499 employees
https://www.bcbs.com/about-us/careers