Administrative Support Specialist at Blue Cross Blue Shield Kansas in Topeka, Kansas

Job Description:

The Administrative Support Specialist primarily supports the administrative functions in the Precert and CM department for MA business. Shares in the responsibility for the daily execution of the utilization management (UM) system batch letter process, scanning all documents as required from the Precert and CM areas received through RightFax or interoffice mail. Responsible for letter review process to include error correction as needed. Coordinates Health Risk Assessment (HRA) activities. Provides administrative support to include backup to the administrative assistant, other non-clinical staff, precert and case management operations coordinator, and clinical informatics systems specialist.


"Upon completion of the initial six-month training period, this position will be eligible for hybrid work. Alternatively, employees may choose to work onsite or in a hybrid capacity (a minimum of 9 days per month onsite), in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."



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Why Join Us

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  Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
  
  


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  Lead and Inspire: Guide and mentor your team to achieve their full potential and success.
  
  


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  Family Comes First: Total rewards package that promotes the idea of family first for all employees.
  
  


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  Professional Growth Opportunities: Advance your career with ongoing training and development programs.
  
  


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  Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
  
  


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  Flexibility: options to work onsite or hybrid available
  
  


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  Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire
  
  
  

Compensation



$20.42-$24.30 hourly
Non-Exempt 11

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.
  
  

What you'll do

• Shares in the responsibility for execution of the daily batch letter generation program from the UM system to include downloading files, online proofreading and correction, printing, file submission to mailroom, scanning/auto capture process, mailing/stuffing case management letters, primary person for processing Medicare Advantage (MA) HRA mailings.
  
  


• Shares in the responsibility for scanning all precert, alternative care, case management, prior authorization, or medical review claims related documents for the precert and case management department.
  
  


• Responsible for reviewing returned member/provider department generated letters for regeneration manually or from the online file. Activities include research of member and provider addresses via internal and external resources, referral to other staff members, and/or notation in proper system of the letters return.
  
  


• Access RightFax queue, triage faxes received to include moving to BluECM/Imaging, notifying appropriate staff, and documenting in the appropriate systems.
  
  


• Shares in the responsibility for typing letters, mail distribution, copying requests, and equipment troubleshooting.
  
  


• Shares in the responsibility for creating, coordinating, testing, all activities for letter review to include vendor letters as well as pre/post implementation functions.
  
  


• Responsible for tracking HRA documents which may include manual entry in an MS excel document and/or UM system.
  
  


• Responsible for coordinating and scheduling meetings to include producing and distributing agendas and meeting minutes.
  
  


• Responsible for maintaining current knowledge of precert processes, applicable health plan standards (URAC and State), DOL, CMS, and HIPAA requirements. Provides input for process improvements or changes as needed. Takes responsibility for learning new policies and guidelines, corporate and departmental, as established.
  
  


• Must follow URAC standards as required for essential job functions.
  
  

What you need



Knowledge/Skills/Abilities

• Must be process oriented and have aptitude for details, accuracy, good written communication skills to include grammar, spelling, reading, and be able to learn various system applications quickly.
  
  


• Ability to analyze data and develop logical conclusions.
  
  


• Must have excellent organizational skills to handle coordination of multiple activities/projects and work independently to meet critical deadlines.
  
  


• Upon completion of training, must attain thorough knowledge of systems utilized to perform job duties to include reporting and testing functions.
  
  


• Must have excellent communication and customer relation skills necessary to resolve problems/issues and interact effectively with others.
  
  


• Must have a thorough knowledge of the letter review process upon completion of training.
  
  


• Demonstrates high degree of initiative, organization, clarity, flexibility, and urgency in managing workload and resources.
  
  

Education and Experience

• High school diploma or equivalent required.
  
  


• Two years' experience with administrative functions and extensive knowledge of word, excel, power point, and imaging applications.
  
  


• Within three months must be able to proficiently use advanced imaging functions.
  
  

Physical Requirements

• Must be able to lift 30 pounds
  
  


• 95% of daily activities require the use of a computer, multifunctional printer, scanner.
  
  

Benefits & Perks

• Base pay is only one component of your competitive Total Rewards package
  
  


• Incentive pay program (EPIP)
  
  


• Health/Vision/Dental insurance
  
  


• 6 weeks paid parental leave for new mothers and fathers
  
  


• Fertility/Adoption assistance
  
  


• 2 weeks paid caregiver leave
  
  


• 5% 401(k) plan matching
  
  


• Tuition reimbursement
  
  


• Health & fitness benefits, discounts and resources
  
  

Our Commitment to Diversity, Equity, Inclusion, and Belonging



At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of diversity, equity, inclusion, and belonging (DEIB), where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.


We believe that embracing diversity and authentically promoting inclusion, equity, and belonging among our team members is crucial to our collective success. By intentionally recruiting, developing, and retaining a diverse pool of talent, we cultivate an environment where everyone feels valued, heard, and empowered to contribute. Accommodations are available for applicants with disabilities upon request, ensuring an inclusive and accessible hiring process for all. Apply Now