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Claims Processor I

Claims Processor I

BlueCross BlueShield of South CarolinaColumbia, SC, US
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Claims Processor

Responsible for the accurate and timely processing of claims.

Logistics : PGBA one of BlueCross BlueShield's South Carolina subsidiary companies.

Location : This position is full-time (40-hours / week) Monday-Friday from 8am-5pm in a typical office environment. This role is located on-site at 17 Technology Cir., Columbia, SC, 29203.

What You'll Do :

  • Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
  • Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
  • Coordinates 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 the Following :

  • 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.

    • Our Comprehensive Benefits Package Includes the Following :

  • 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.
  • Education Assistance.
  • Service Recognition.
  • National discounts to movies, theaters, zoos, theme parks and more.

    • What We Can Do for You :

    We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

    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 individuals with disabilities and protected 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.

    If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480.

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    Claim • Columbia, SC, US