Blue Cross and Blue Shield of Kansas

Nurse Consultant

Blue Cross and Blue Shield of Kansas

2 months ago
Topeka, KS
Hybrid
Full Time
Senior
0 applicants
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Blue Cross and Blue Shield of Kansas
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About this role

The Nurse Consultant at Blue Cross and Blue Shield of Kansas is responsible for the day-to-day operations of reviewing and processing predeterminations, claims, appeals, and related inquiries while utilizing independent decision-making aligned with medical policies. This role serves as a primary resource for internal staff regarding medical policy, correct coding, medical necessity, and claims adjudication processes.

Skills

Qualifications

High School DiplomaKansas RN Licensure3 Years Clinical Nursing Experience
Blue Cross and Blue Shield of Kansas

About Blue Cross and Blue Shield of Kansas

bcbsks.com

Health insurance and dental plans, related health care benefits for Medicare, individual or group health insurance. Manage your health care choices with BCBSKS.

About Blue Cross and Blue Shield of Kansas

Headquarters

San Francisco, CA

Company Size

201-500 employees

Founded

2018

Industry

Technology

Glassdoor Rating

4.2 / 5

Leadership Team

Sarah Johnson

Chief Executive Officer

Michael Chen

Chief Technology Officer

Emily Williams

VP of Engineering

David Rodriguez

VP of Product

Jessica Thompson

Chief Financial Officer

Andrew Park

VP of Sales

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