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  • Job
    Full-time
    Junior Level
  • Government & Politics
    Healthcare
  • Columbia, +1
  • Quick Apply

AI generated summary

  • You need a high school diploma, 2 years of relevant experience, proficiency in MS Office, strong organizational and communication skills, and good judgment in spelling and grammar.
  • You will conduct non-medical reviews, prepare reports, analyze workloads, update documents, and assist with legal inquiries and administrative requests as needed.

Requirements

  • Required Education: High school diploma or equivalent
  • Required work experience: 2 years in a job-related field
  • Required Skills and abilities: Demonstrated proficiency in word processing and spreadsheet software, excellent organizational, customer-service, and written and oral communications skills, good judgment, proficiency in spelling, punctuation and grammar, microsoft Office skills

Responsibilities

  • Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy
  • Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools
  • Updates letters and documents within the department when necessary
  • May gather and prepare documentation for legal inquiries and administrative requests

FAQs

What are the working hours for the Appeals Specialist position?

The working hours for the Appeals Specialist position are full-time (40 hours/week) Monday through Friday from 8 am to 5 pm.

Where is the Appeals Specialist position located?

The position is located onsite in Columbia, SC.

What are the educational requirements for the Appeals Specialist position?

The required education for this position is a high school diploma or equivalent.

What type of experience is needed to qualify for the Appeals Specialist role?

A minimum of 2 years of work experience in a job-related field is required.

What skills are necessary for this position?

Required skills include demonstrated proficiency in word processing and spreadsheet software, excellent organizational and customer service abilities, strong written and oral communication skills, good judgment, and proficiency in spelling, punctuation, and grammar.

Is Medicare experience preferred for the Appeals Specialist role?

Yes, Medicare Part B experience is preferred for this position.

What benefits does the company offer?

The company offers various benefits, including a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave, nine 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 can I expect after submitting my application?

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

Does the company have a nondiscrimination policy?

Yes, BlueCross BlueShield of South Carolina maintains a policy of nondiscrimination in employment and promotes equal opportunities regardless of age, race, color, national origin, sex, religion, veteran status, disability, and other legally protected statuses.

How can I request accommodations during the application process?

If you need special assistance or accommodations while seeking employment, you can email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request.

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.