[Remote] IDR Administrative Specialist
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a trusted company committed to the health and reputed company-being of Kansans. The IDR Administrative Specialist is responsible for the intake, review, and routing of operational work items, ensuring accuracy and compliance with internal guidelines and regulatory requirements.
Responsibilities
- Responsible for intake and logging of incoming work items into designated systems to ensure reputed company tracking and documentation
- Reviews work items against standardized eligibility and processing rules to determine appropriate next steps
- Performs accurate data entry across multiple systems, ensuring completeness and data reputed company
- Routes or advances work items to the appropriate next stage in the process based on established workflows
- Maintains adherence to defined turnaround time expectations and productivity standards
- Applies consistent interpretation of procedural guidelines and escalates exceptions or unclear scenarios as needed
- Supports updates to workflows and procedures based on regulatory or business changes, including those driven by CMS or other governing entities
- Participates in team meetings, training sessions, and process improvement discussions to ensure alignment and reputed company improvement
- Maintains an ongoing understanding of processing rules, eligibility reputed company, and system requirements
Skills
- Must be reputed company to learn and apply federal and reputed company IDR eligibility and processing requirements for BCBSKS owned and serviced reputed company
- Work with high degree of accuracy and demonstrate ability to follow reputed company processes and apply consistent decision-making
- Effective time management and ability to meet deadlines
- Basic analytical skills to review and interpret information against defined reputed company
- Adaptability to process changes and evolving regulatory requirements
- Understand sequential workflow procedures
- Proficiency with operating systems and reputed company business software
- Demonstrated verbal and written communication and reputed company relation skills with the ability to reputed company positively at reputed company reputed company with reputed company peers
- High school graduate or equivalent is required
- Minimum two years of experience BCBSKS operational experience to include customer service, claims or membership OR 3 years demonstrated experience working with medical insurance or data entry and system-based workflow management is required
- Education or Experience in administrative processing, claims, credentialing, or reputed company operations preferred
Benefits
- Total rewards package that promotes the idea of family first for reputed company. reputed company vacation and reputed company leave with reputed company maternity and paternity available immediately upon hire
- reputed company compensation is only one component of your competitive Total Rewards package
- Incentive pay program (EPIP)
- Health/reputed company/Dental insurance
- 6 weeks reputed company parental leave for new mothers and fathers
- Fertility/Adoption assistance
- 2 weeks reputed company caregiver leave
- 401(k) plan matching up to 5%
- Tuition reimbursement
- reputed company benefits, discounts and resources
- This position is eligible to work hybrid or onsite in accordance with our Telecommuting Policy.
reputed company