Arkansas Blue Cross and Blue Shield

HQ
Little Rock
Total Offices: 8
2,276 Total Employees
Year Founded: 1948
View Website

Arkansas Blue Cross and Blue Shield Benefits Overview

Compensation + BenefitsWork-Life Balance + WellbeingCareer Growth + DevelopmentCompany Culture

Compensation + Benefits

Offers 401(K)

Offers life insurance

Offers supplemental life insurance

Offers accidental death & dismemberment insurance

Offers disability insurance

Offers charitable contribution matching

Offers occupational accident insurance

Offers retiree health & medical

Offers dental insurance

Offers health insurance

Offers mental health benefits

Offers Flexible Spending Account (FSA)

Offers vision insurance

Offers Health Savings Account (HSA)

Provides family medical leave

Offers generous parental leave

Offers performance bonuses

Offers employee discounts

Work-Life Balance + Wellbeing

Offers company-sponsored outings

Offers gym membership

Offers an Employee Assistance Program (EAP)

Offers generous PTO

Provides bereavement leave

Provides paid holidays

Provides military leave

Career Growth + Development

Provides customized development tracks

Job training & conferences

Provides tuition assistance

Company Culture

Offers a remote work program

Offers diversity-based Employee Resource Groups

Provides a mobile phone discount

Offers legal assistance

Recently posted jobs

See all jobs at Arkansas Blue Cross and Blue Shield
Insurance
Perform clinical review of prior authorizations, inpatient/outpatient services and network exceptions to determine medical necessity using evidence-based criteria, corporate policies and URAC standards. Collaborate with providers and internal staff, document determinations, manage queues and calls, promote cost-effective, quality care, and maintain regulatory compliance.
Insurance
Performs utilization management and clinical reviews for inpatient, outpatient, surgical, diagnostic, and out-of-network services. Evaluates medical necessity using evidence-based criteria, clinical guidelines, policies, mandates, and standards. Collaborates with providers and internal teams to promote quality, appropriate care, cost effectiveness, accessibility, and patient safety. Documents determinations, manages review queues and calls, maintains regulatory compliance, and applies nursing judgment to support healthcare service decisions.
Arkansas Blue Cross and Blue Shield Logo
Arkansas Blue Cross and Blue Shield

Claims Specialist I

3 Days AgoSaved
In-Office or Remote
Little Rock, AR, USA
Insurance
Resolves medical claims that do not automatically adjudicate by reviewing benefits, eligibility, edits, audits, and processing issues. The role researches information using systems, manuals, ICD, CPT, and HCPCS codebooks; communicates with internal staff and medical providers; routes claims; prepares correspondence and forms; and maintains accuracy, productivity, confidentiality, and knowledge of changing procedures.
see all jobs at Arkansas Blue Cross and Blue Shield