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Claims Processor, Intermediate (ITS Host & Home)

BSC · Redding, CA, United States

Imported listingfull-time2 months ago

About The Role

The ITS Host and Home Claims teams process claims and adjustments for out of state Blue Cross Blue Shield members that receive services in California and for our Blue Shield of California members that receive services performed outside of California. The Claims Processor Intermediate will report to the Operations Supervisor. In this role you will be responsible for reviewing and adjudicating claims and/or adjustments in accordance with provider contracts and organizational policies and procedures to meet operational, financial, and service requirements.

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