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Internal Support Clerk at Blue Cross Blue Shield of Michigan in New Hudson, Michigan

Posted in Admin - Clerical 30+ days ago.

Type: Full-Time

Job Description:

Performs activities related to supporting trading partners in acceptance, and approval of EDI Authorization and Agreement forms. Through telecommunications or email, notifies trading partner of the status of forms submitted for approval to submit electronic claims. Updates and maintains EDI Trading Partner authorization files. Performs data entry functions to enter new trading partners, deletes inactive trading partners, and makes changes to existing trading partners TPA Provider Information page using desktop computer. Reviews Corporate Provider files to expedite access to electronic billing opportunities.

  • Reviews and supports Trading Partner Authorizations and agreements.

  • Responds to reports, telephone, verbal and written inquiries regarding status of forms and registration.

  • Maintains approved authorization forms/agreements data and generates a daily and weekly Provider Authorization File Report.

  • Generates a monthly report with in depth analysis of the status of Trading Partners. Performs deletions, changes and updates when required.

  • Provides a detailed monthly report of total number of new Trading Partners added, total number of authorization forms/agreements processed, and total number of Signature on File requests processed.

  • Maintains call log and updates service manager for inquiry and maintenance activity.

  • Serves as back up to other resources within department.

  • Assists EDI billing consultants, servicing representatives and Corporate Financial Investigations staff with trading partner Authorization and Signature on File/ agreement information.

  • Performs other related duties as assigned.

" Qualifications"

  • High school graduate or GED equivalent is required.

  • Two (2) years� experience in a data management and quality control role and/or as a Production Assistant. Ability to operate key-to-disk data entry computers and peripherals.

  • One (1) year EDI experience or three (3) years� experience where primary functions related to database updates and/or external customer servicing was required.

  • Analytical abilities, professional telephone experience, filing, and good customer service skills are necessary to perform duties relative to processing of authorization forms, etc.

  • Keyboard skills of 80 net keystrokes per minute with 95% accuracy required.

  • Knowledge of personal computer operation and Provider-files are required to process EDI authorization forms.

  • Knowledge of data entry applications.

  • Other related skill and/or abilities may be required to perform this job.

**Please note this is a temporary position, expected to last through 2022.***

All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.