[Remote] BCBS Claims Specialist II

Note: The job is a remote job and is open to candidates in USA. Healthcare Management Administrators (HMA) is a premier third-party health plan administrator that provides customized health plans to medium to large-size employers. The Claims Specialist II will be responsible for the accurate and timely processing of various claims, ensuring a positive healthcare experience for members while working collaboratively within a dedicated team. Responsibilities • Research and process ITS claim adjustments, returned checks, refunds and stop payment in an accurate and timely manner • Communicate with local Blue plans utilizing real time chat • Process priority claims and general inquiries • Respond to appeals and correspondence regarding claims functions • Support team members and be open to providing assistance when and where needed • Become a SME regarding BCBS network Skills • Experience in processing medical, dental, vision, and short-term disability claims • Ability to research and process claim adjustments, returned checks, refunds, and stop payments accurately and timely • Strong communication skills to interact with local Blue plans utilizing real-time chat • Experience in processing priority claims and general inquiries • Ability to respond to appeals and correspondence regarding claims functions • Willingness to support team members and provide assistance when needed • Ability to become a Subject Matter Expert (SME) regarding BCBS network Benefits • Comprehensive salary • Pay transparency • Benefits • Time off package • Plenty of personal development and growth opportunities Company Overview • HMA is Proving What's Possible in Healthcare®. It was founded in 1986, and is headquartered in Bellevue, Washington, USA, with a workforce of 201-500 employees. Its website is Apply tot his job