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Anthem Blue Cross Rn Jobs in Baton Rouge, LA (NOW HIRING)

RI International

Registered Nurse

Baton Rouge, LA · On-site

$43 - $45/hr

Registered Nurse Change Lives With Recovery Innovations! Our Mission is to empower people on their ... Cross Functional Collaboration: * Collaborates with an interdisciplinary team to continuously ...

Recovery Innovations

Registered Nurse

Baton Rouge, LA · On-site

$43 - $45/hr

Position: Registered Nurse Job Type: Full-Time / Non-Exempt Shift Details: Thursday, Friday ... Cross Functional Collaboration: * Collaborates with an interdisciplinary team to continuously ...

RI International

Registered Nurse

Baton Rouge, LA · On-site

$43 - $45/hr

Position: Registered Nurse Job Type: Full-Time / Non-Exempt Shift Details: Thursday, Friday ... Cross Functional Collaboration: * Collaborates with an interdisciplinary team to continuously ...

Recovery Innovations

Registered Nurse

Baton Rouge, LA · On-site

$43 - $45/hr

Position: Registered Nurse Job Type: Full-Time / Non-Exempt Shift Details: Thursday, Friday ... Cross Functional Collaboration: * Collaborates with an interdisciplinary team to continuously ...

Nurses Direct, LLC.

Contract RN - ICU

Baton Rouge, LA · On-site

$2.0K/wk

RN - ICU 3x 12h shifts Education Required - Graduate of an accredited school of nursing. Preferred ... blue card from Crisis Prevention Institute Preferred - Certification in clinical specialty area ...

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$43

$67

How much do anthem blue cross rn jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for anthem blue cross rn in Baton Rouge, LA is $43.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.03 and $51.25 per hour, depending on experience, location, and employer.

What is an Anthem Blue Cross RN?

An Anthem Blue Cross RN (Registered Nurse) is a nursing professional who works for Anthem Blue Cross, typically in roles such as care management, utilization review, or case management. These nurses assess patient needs, coordinate care, and ensure members receive appropriate healthcare services. They often work remotely or in office settings, focusing on improving patient outcomes and optimizing healthcare resources. This role requires an active RN license and experience in clinical nursing or case management.

What skills and qualifications are needed for an Anthem Blue Cross RN?

To excel as an Anthem Blue Cross RN, you need an active RN license, strong clinical assessment skills, and a solid understanding of managed care or case management practices. Familiarity with healthcare management software, claims processing systems, and care coordination platforms is highly beneficial, along with certifications like CCM (Certified Case Manager). Outstanding communication, critical thinking, and organization skills help you collaborate effectively with patients, providers, and internal teams. These competencies ensure you can deliver effective care management, enhance member outcomes, and support organizational goals in a complex healthcare environment.

What does an Anthem Blue Cross RN do?

A typical day for an Anthem Blue Cross RN often involves conducting telephonic or virtual assessments, coordinating care plans, and reviewing medical records to support members' health needs. You’ll regularly collaborate with social workers, physicians, and case managers to ensure members receive appropriate care and assistance navigating the healthcare system. The role is generally structured around a remote or office-based team environment with frequent cross-departmental communication. This collaborative approach allows RNs to have a meaningful impact on member health outcomes while also developing skills in care management and healthcare administration.

What are popular job titles related to Anthem Blue Cross Rn jobs in Baton Rouge, LA? For Anthem Blue Cross Rn jobs in Baton Rouge, LA, the most frequently searched job titles are:
What job categories do people searching Anthem Blue Cross Rn jobs in Baton Rouge, LA look for? The top searched job categories for Anthem Blue Cross Rn jobs in Baton Rouge, LA are:
Anthem Blue Cross Rn jobs near you
Infographic showing various Anthem Blue Cross Rn job openings in Baton Rouge, LA as of July 2026, with employment types broken down into 75% Full Time, 6% Part Time, and 19% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $89,705 per year, or $43.1 per hour.

Claims Specialist II (Medical Claims / Coordination of Benefits)

Strategic Staffing Solutions

Baton Rouge, LA • Remote

$19/hr

Other

Medical

Posted 5 days ago

Job description

Job Description Claims Specialist II (Medical Claims / Coordination of Benefits) Location: Remote (Louisiana Preferred) Contract Length: 5 Months Pay Rate: Up to $19/hour (W2) Industry: Health Insurance / Medical Claims Position Summary We are seeking an experienced Claims Specialist II with medical claims processing experience to support a high-volume health insurance claims operation. This position is responsible for processing and adjusting medical claims, researching claim issues, determining Coordination of Benefits (COB), recovering overpayments, and ensuring claims are processed accurately while maintaining compliance with HIPAA and company policies. Louisiana candidates are preferred.

This is a remote opportunity. Required Qualifications High School Diploma or equivalent Minimum 2 years of medical claims processing experience Claims processing experience is required Coordination of Benefits (COB) experience strongly preferred Experience determining primary vs. secondary insurance coverage Knowledge of medical claims adjudication and claims edits Strong analytical, problem-solving, and investigative skills Excellent verbal and written communication skills Working knowledge of Microsoft Office and claims processing systems Ability to prioritize multiple workstreams in a fast-paced environment Preferred Experience Hands-on Coordination of Benefits (COB) processing Medicare coordination and primacy determination Provider reimbursement and overpayment recovery Health insurance or managed care environment Key Responsibilities Process medical claims, claims edits, and claims adjustments accurately.

Research and determine the correct Coordination of Benefits (COB) for members with multiple insurance plans. Identify primary and secondary coverage using subscriber status, plan type, Medicare coordination, and effective dates. Review and update claims to ensure proper payment and reimbursement.

Investigate and resolve complex claims issues and discrepancies. Process refunds and recover overpayments from providers or members. Communicate with providers, members, Medicare, and other insurance carriers regarding claim status and coverage.

Maintain accurate claims records while ensuring compliance with HIPAA and regulatory requirements. Review quality audits and complete corrections within departmental guidelines. Support special projects, training initiatives, and departmental process improvements.

Preferred Knowledge Medical claims adjudication Coordination of Benefits (COB) Medicare primacy rules Provider reimbursement Claims adjustments and overpayment recovery HIPAA compliance Medical terminology Health insurance operations Ideal Background Candidates with experience in organizations such as: Blue Cross Blue Shield UnitedHealthcare / Optum Humana Elevance Health (Anthem) Aetna / CVS Health Cigna Centene Molina Healthcare Kaiser Permanente Highmark GuideWell / Florida Blue CareFirst HealthPartners AmeriHealth This opportunity is ideal for candidates with strong medical claims processing and Coordination of Benefits (COB) experience who thrive in a detail-oriented, production-focused healthcare environment.

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