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Appeals Coordinator

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BlueCross BlueShield of South Carolina

1mo ago

  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Columbia, +1
  • Quick Apply

AI generated summary

  • You need a high school diploma, one year of relevant experience, strong Microsoft Office skills, and effective communication, organizational, and customer service abilities.
  • You will research requests, enter data, log cases, generate letters, assemble files, ensure quality control, and prepare case files for review and routing.

Requirements

  • Required Education: High school diploma or equivalent
  • Required work experience: One year of healthcare administrative, clerical or job related experience
  • Required Skills and abilities: Demonstrated proficiency in word processing and spreadsheet software, effective organizational and customer-service skills, good judgment, proficiency in spelling, punctuation and grammar, demonstrated written and oral communications skills, Microsoft Office skills

Responsibilities

  • Researches requests, enters appropriate data to identify case specifics and builds appeals cases on the system
  • Logs requests to appropriate functional area, generates letters, assembles files, orders records and obtains additional information as directed
  • Ensures quality control of all appeals on the appeals system, pends documents to be saved electronically, and prepares case files for review and/or further routing

FAQs

What are the working hours for the Appeals Coordinator position?

The working hours for the Appeals Coordinator position are Monday to Friday, from 8 am to 5 pm.

Is this position full-time or part-time?

This position is full-time, requiring 40 hours per week.

What is the required educational background for this position?

The required education is a high school diploma or equivalent.

How much work experience is needed to qualify for this role?

One year of healthcare administrative, clerical, or job-related experience is required.

What skills are essential for the Appeals Coordinator role?

Essential skills include proficiency in word processing and spreadsheet software, effective organizational and customer-service skills, good judgment, proficiency in spelling, punctuation, and grammar, as well as written and oral communication skills.

What benefits does the company offer to employees?

The company offers benefits including a 401(k) retirement savings plan with company match, subsidized health plans, life insurance, paid annual leave, paid holidays, on-site cafeterias and fitness centers, wellness programs, tuition assistance, service recognition, an incentive plan, a merit plan, and continuing education funds.

What should I expect after submitting my application?

After submitting your application, the recruiting team will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter regarding your resume specifics and salary requirements.

Does the company provide accommodations for individuals with disabilities?

Yes, the company is committed to providing reasonable accommodations to individuals with disabilities and those needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the company.

Is there an E-Verify program participation?

Yes, the company participates in E-Verify and complies with the Pay Transparency Nondiscrimination Provision.

How can I reach out for special assistance during the application process?

You can reach out for special assistance by emailing mycareer.help@bcbssc.com or calling 800-288-2227, ext. 47480 with the nature of your request.

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BlueCross BlueShield of South Carolina

South Carolina’s largest and oldest health insurance company

Finance
Industry
10,001+
Employees
1946
Founded Year

Mission & Purpose

BlueCross BlueShield of South Carolina, the state's largest insurance company, has been a part of the national landscape for over six decades. With an A+ Superior rating from A.M. Best, the company is a leading government contract administrator and operates one of the most advanced data processing centers in the Southeast. BlueCross offers employees robust benefits, including retirement plans, health coverage, and education assistance, while fostering a culture of community support, with employees actively contributing to numerous nonprofit organizations each year.