Blue Card Specialist II

    • Job Tracking ID: 512935-769717
    • Job Location: Remote, USA
    • Job Level: Entry Level (less than 2 years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: July 23, 2021
    • Years of Experience: Less Than 1 Year
    • Starting Date: ASAP
    • Salary Type:: Hourly
    • Rate:: $12.75
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Job Description:


The Blue Card Specialist II monitors processing of claims to ensure inventory is within our Blue Card partners’ TAT. Assists Claim Processors with acquiring necessary info to successfully complete claims inventory and assist the team with other issues as needed. Communicates daily through email with AmeriBen’s Blue Card partners to resolve issues as they arise.

Key Result Areas

  • Reports Blue Card related issues to Team Lead.
  • Monitors Blue Card/AmeriBen shared claim inventory.
    • Recon files/recon exceptions
    • Failed 835 exceptions
  • Monitors/Creates and update Excel spreadsheets daily.
    • Aged reports
    • Adjustment reports
  • Routes medical records to the appropriate processor(s).
  • Responds to Provider inquiries from Blue Card partners.
  • Responds and resolves inquiries from Blue Card partners and internal teams.
  • Ensures resolution and turnaround time for call tracking.
  • Meets department and quality production standards.
  • Requests information necessary for completion of claims and follow-up if necessary.
  • Achieves 95% TAT Resolution.
  • Completes all above tasks for Network/Clients designated for Tier II.
  • Performs other dutes as assigned or needed.

Experience and Skills:

  • High school degree or equivalent.
  • Complete projects and tasks in a timely and accurate manner.
  • Good organizational skills and follow up skills.
  • Knowledge of department assigned.
  • Accuracy with numbers.
  • Team and goal oriented.
  • Types 45 wpm, 10-key by touch, and computer knowledge.
  • Able to demonstrate excellent attendance and punctuality.
  • Excellent customer service attitude and professionalism.
  • Demonstrate Accuracy, Customer Service, Timely Turn-Around (ACT).
  • Exceptional verbal and written communication skills.
  • Proficiency using Microsoft Office (Word, Excel, Outlook, etc.).
  • Ability to work efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines.
  • Possess a high degree of integrity and discretion, as well as the ability to adhere to both company policies and best practices.
  • Ensure compliance with security practices and procedures, including HIPAA and HITRUST standards.
  • Ability to efficiently and effectively perform the Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self.
  • Protect and enhance the Core Purpose and the Core Values of AmeriBen

AmeriBen is not yet hiring in the below states:

  • Alabama, Delaware, Massachusetts, Mississippi, Montana, New Hampshire, New Jersey, New Mexico, New York, North Dakota, Rhode Island ,South Dakota, Vermont.

AmeriBen is an Equal Opportunity/Affirmative Action Employer committed to creating an environment of diversity and inclusion for equal employment and advancement opportunities to all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, national origin, sex, sexual orientation, gender identity and/or expression, genetic information, disability, veteran or military status, or any other category protected by federal, state and/or local law.

If you are unable to use our online application process due to a disability, please contact the Human Resources Department at .