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BlueCross BlueShield of South Carolina · 18 hours ago

Claims Processing 1-18

Florence, SC

Full-time

Onsite

Entry Level

1+ years exp

BlueCross BlueShield of South Carolina is a leading insurance company with a strong presence in the community. They are seeking a Claims Processing professional responsible for the accurate and timely processing of claims, ensuring compliance with business regulations and internal standards.

Financial ServicesHealth CareHealth InsuranceInsuranceMedical

Responsibilities

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

Qualification

Claims processingAnalytical skillsCustomer service skillsOral communicationWritten communicationBasic business mathProficient in word processingProficient in spreadsheetsDatabase software

Required

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

Preferred

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

Benefits

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

Company

BlueCross BlueShield of South Carolina

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For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.

Founded in 1946

Columbia, South Carolina, USA

10001+ employees