About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate you are joining a culture that is built on values of succeeding together finding a better way and doing the right thing. If you are ready to make a difference join us.

The Impact You Will Have

This position is responsible for researching reviewing and resolving money sent to BCBSMN from providers subscribers other Blue Plans and/or other sources. You will collaborate with numerous departments within Blue Cross as well as third party vendors used for collections and payment integrity audits.

Your Responsibilities

• Research and determine how money is to be applied to the claim.
• Ability to determine if a claim is ITS SSU FEP and/or possible fraud issue.
• Ability to collaborate with other BCBSMN departments such as Treasury COB Membership Government Customer Service and/or Provider Services.
• Ability to work with CMS and COR to accurately post the monies received by BCBSMN.
• Must have a working knowledge of COB types.
• Ability to manually price a claim.

Required Skills and Experience

• 2 years of related experience. All relevant experience including work education transferable skills and military experience will be considered.
• Prioritize skills in order to schedule work to meet deadlines.
• Exceptional verbal and written communication abilities to convey messages clearly and professionally across diverse audiences.
• Well-developed analytical skills to evaluate and determine appropriate course of action.
• Demonstrate flexibility to adapt to changes in procedures and job assignment.
• Ability to work independently and seek solutions to problems.
• Strong knowledge and navigation skills in Microsoft 365 programs including Word Excel and Outlook.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Role Designation

Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.

Compensation and Benefits

Pay is based on several factors which vary based on position including skills ability and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical dental and vision insurance

• Life insurance

• 401k

• Paid Time Off (PTO)

• Volunteer Paid Time Off (VPTO)

• And more

To discover more about what we have to offer please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply please contact us at:

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.