Plan to Plan Service Specialist I - Denver, CO - PS10322 Anthem, Inc. 3,175 reviews - Denver, CO Your Talent. Our Vision. At Anthem, Inc., its a powerful combination, and the foundation upon which were creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company. Plan to Plan Service Specialist I: Serves as a single point of contact in responding to all Plan to Plan claims inquiries and resolving related issues. Primary duties may include, but are not limited to: * Works with internal business partners (sales, member services, claims, medical review, appeals, etc.) and external contacts within the other Blues plans to address all inter-Plan claims issues. * Performs all aspects of customer service and manages adjustments, ITS processing, keying, rate negotiation, grievance and appeals, escalations, etc., in providing a seamless Blue customer experience. * Understands all lines of business, including all subsets within the products, and all of the related systems. * Resolves Plan to Plan emails and Blue 2 General inquiries. * Requests and routes medical records to medical review units. * Keys, processes and adjusts claims for all lines of business. * Requires some supervision with claims processing/adjustments and inquiry resolution. Requires a High Schooldiploma or GED; 2 years of experience in an automated customer service or claims environment; or any combination of education and experience, which would provide an equivalent background. Previous healthcare/medical experience required. Prior knowledge within the Blue plan preferred. WGS & CCB experience preferred. Call Center experience strongly preferred. Adjustment claims experience preferred. Experience working in a team environment preferred. Experience working in high pressure environment preferred. Excellent multitasking skills preferred. Critical thinking skills required. No telecommuting available. Anthem, Inc. is ranked as one of Americas Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com An Equal Opportunity Employer/Disability/Veteran 13 hours ago - save job - original job Apply On Company Site Other jobs you may like Baggage Service Specialist/ Temporary Frontier Airlines Denver, CO 3 hours ago Customer Service Representative OfficeTeam Denver, CO Robert Half - 7 hours ago Easily apply Order Processing/Customer Service Representat... Domino's Supply Chain Center Denver, CO 12 hours ago Easily apply Client Success Manager Digital First Media Denver, CO 12 hours ago Shipping/Receiving/Customer Service Breckenridge Catalog LLC (WinterKids.com & WinterWomen.com) Denver, CO 9 hours ago Easily apply * Plan Plan Service Specialist jobs in Denver, CO

• Jobs at Anthem in Denver, CO * Plan Plan Service Specialist salaries in Denver, CO Anthem, Inc. Anthem, Inc. 3,175 reviews Its a powerful combination. Its the foundation upon which were creating greater care for our members, greater value for our customers,... Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume