BlueCross BlueShield of South Carolina
Location
Columbia, SC | United States
Job description
Summary
Description
Claims Processor I (PART-TIME)
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Logistics:
This position is part-time position Monday through Friday. Training hours will be 8:00am – 2:00pm reporting onsite to 4101 Percival Road, Columbia, SC 29229 for approximately 3 months. After training, one must have the flexibility to work at least 4 hours daily between the hours of 7:30am – 4:30pm. Upon completing training, and meeting departmental standards, there will be an opportunity to work remote.
What You’ll Do:
Research and process claims according to business regulation, internal standards, and processing guidelines
Verifies the coding of procedure and diagnosis codes
Resolve system edits, audits, and claims errors through research and use of approved references and investigative sources
Coordinate with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary
To Qualify for This Position, You’ll Need:
High School Diploma or equivalent
Strong analytical, organizational and customer service skills
Strong oral and written communication skills
Proficient spelling, punctuation, and grammar skills
Good judgment skills
Basic business math skills
Basic office equipment
We Prefer That You Have:
1 year-of experience in a healthcare or insurance environment
Ability to use complex mathematical calculations
Proficient in word processing and spreadsheet applications
Proficient in database software
What We can Do for You:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401K retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Wellness program and healthy lifestyle premium discount
Tuition assistance
Service recognition
Employee Assistance
Discounts to movies, theaters, zoos, theme parks and more
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications require proof of semester hours, please attach your transcript to your application.
Management will be conducting interviews with the most qualified candidates, with prioritization given to those candidates who demonstrate the preferred qualifications.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
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Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
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