IDR Administrative Specialist

This job was posted by https://www.kansasworks.com : For more

information, please see: https://www.kansasworks.com/jobs/13615067 Are

you ready to make a difference? Choose to work for one of the most

trusted companies in Kansas.

• Why Join Us?
• Make a Positive Impact: Your work will directly contribute to

the health and well-being of Kansans.

• Family Comes First : Total rewards package that promotes the

idea of family first for all employees. Paid vacation and sick leave

with paid maternity and paternity available immediately upon hire

• Professional Growth Opportunities: Advance your career with

ongoing training and development programs.

• Dynamic Work Environment: Collaborate with a team of passionate

and driven individuals in a work environment that promotes

flexibility.

• Trust and Stability: Work for one of the most trusted companies

in Kansas with over 80 years of commitment, compassion and

community.

• Inclusive Work Environment: We pride ourselves on fostering a

workplace where everyone is valued and respected.

Benefits & Perks

• Base compensation is only one component of your competitive Total

• 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
• 401(k) plan matching up to 5%
• Tuition reimbursement
• Health & fitness benefits, discounts and resources

responsible for the intake, review, and routing of operational work

items to ensure accurate and timely processing. This role applies

standardized business rules to assess eligibility, perform data entry,

and advance work through defined workflows. The Specialist supports

operational efficiency by maintaining accuracy, timeliness, and

compliance with internal guidelines and externally driven requirements,

including regulatory changes. This position requires a high level of

attention to detail, consistency in applying rules, and the ability to

adapt to evolving processes, including those influenced by federal

guidance such as CMS.

"This position is eligible to work hybrid or onsite in accordance with

our Telecommuting Policy. Applicants must reside in Kansas or Missouri

or be willing to relocate as a condition of employment."

What you'll do

• Responsible for intake and logging of incoming work items into

• Reviews work items against standardized eligibility and processing

• Performs accurate data entry across multiple systems, ensuring

• Routes or advances work items to the appropriate next stage in the

• Maintains adherence to defined turnaround time expectations and

• Applies consistent interpretation of procedural guidelines and

• Supports updates to workflows and procedures based on regulatory or

entities.

• Participates in team meetings, training sessions, and process

improvement.

• Maintains an ongoing understanding of processing rules, eligibility

What you need**

Knowledge/Skills/Abilities

• Must be able to learn and apply federal and Blue Cross Blue Shield

Association IDR eligibility and processing requirements for BCBSKS

owned and serviced contracts.

• Work with high degree of accuracy and demonstrate ability to follow

tructured processes and apply consistent decision-making

• Effective time management and ability to meet deadlines
• Basic analytical skills to review and interpret information against

defined criteria

• Adaptability to process changes and evolving regulatory requirements
• Understand sequential workflow procedures.
• Proficiency with operating systems and standard business software
• Demonstrated verbal and written communication and human relation

skills with the ability to interact positively at all levels with

internal and external peers.

Education And Experience

High school graduate or equivalent is required.

Education or Experience in administrative processing, claims,

credentialing, or healthcare operations preferred.

Minimum two years of experience BCBSKS operational experience to include

customer service, claims or membership OR 3 years demonstrated

experience working with medical insurance or data entry and system-based

workflow management is required.