Blue Cross and Blue Shield of Nebraska.
Job no: 494312Provide Blue Cross and Blue Shield of Nebraska employees with a formal health care and claims auditing education that will enable them to audit claims with a high degree of quality to meet the corporate goal of excellence in customer service. This position will serve as a subject-matter expert for claims processing. Additionally, the individual will also be responsible for assisting with documentation and curriculum updates and enhancements.What you'll do:Conduct and monitor the effectiveness of company training programs to educate BCBSNE employees in claims auditing, procedural changes and system enhancementsDesign, develop and maintain learning curriculum and reference-material documentation related to auditing processes and training manuals which support all affected areas of the companyAssist internal areas with the resolution of unique claims situationsPartner with internal areas to conduct needs assessments and deliver training proposalsTo be considered for this position, you must have:High School Diploma or equivalent and one (1) year experience with training and documentation, teaching in classroom, coaching employees or two (2) years of experience with Blue Cross claims processing or adjustments. An equivalent combination of education and experience may be substituted to meet this requirement.In-depth CoreLink auditing experience.In-depth experience and knowledge of BCBSNE products and systems.The ability to meet or exceed the attendance and timeliness requirements of their departments.The ability to work well in a team environment, and be capable of building and maintaining positive relationships with other staff, departments, and customers.The strongest candidates for this position will also possess:Bachelors Degree in Communication, Education, Business, Insurance, Health Care or related fieldPrior teaching experience or previous training experience in a health care settingWe strongly believe that diversity of experience, perspectives, and background will lead to a better workplace for our employees and a better product for our customers and members.Blue Cross and Blue Shield of Nebraska is an Equal Opportunity/Affirmative Action Employer - Minorities/Females/Disabled/Veterans