What are the responsibilities and job description for the Operations Specialist, Experienced position at Blue Shield of CA?
Your Role
The Pharmacy Claims Quality team provides oversight to ensure Pharmacy claims process accurately. The Operations Specialist, Experienced will report to the Pharmacy Claims Quality Manager. In this role you will ensure claims processing accuracy by reviewing claims daily for multiple lines of business.
Your Knowledge and Experience
- Requires a bachelor's degree or equivalent experience
- Requires at least 3 years of prior relevant experience
- Proficient use of Excel
- Experience with Pharmacy claim processing
- Proficient with Client Online Services (COS) and Darwin Systems
