Logo of Huzzle

Home

Matches

Explore

Manage

Claims Processing 1-30

image

BlueCross BlueShield of South Carolina

11d ago

  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Florence
  • Quick Apply

AI generated summary

  • You need a high school diploma, strong analytical and communication skills, basic math proficiency, and a year of experience in healthcare or insurance. Familiarity with office software is preferred.
  • You will research and process claims, verify coding accuracy, resolve system errors, and coordinate with departments to update necessary files.

Requirements

  • Required Education: High School Diploma or equivalent.
  • Required Skills: 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.
  • Required Software and Tools: Basic office equipment.
  • Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment.
  • Preferred Skills and Abilities: Ability to use complex mathematical calculations.
  • Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications.
  • Proficient in database software.

Responsibilities

  • Research and process 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.

FAQs

What is the job title for this position?

The job title for this position is Claims Processing 1-30.

Where is the job location?

The ideal candidate will be required to work in our Florence, SC location.

What are the required hours for this position?

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

What qualifications are necessary for this role?

The required education is a High School Diploma or equivalent. Strong analytical, organizational, and customer service skills are also necessary.

Is prior experience needed for this position?

Yes, we prefer candidates to have at least 1 year of experience in a healthcare or insurance environment.

What types of skills are preferred for this position?

Preferred skills include the ability to use complex mathematical calculations and proficiency in word processing, spreadsheet applications, and database software.

What benefits does the company offer?

Benefits include a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave, paid holidays, on-site cafeterias and fitness centers, wellness programs, tuition assistance, service recognition, incentive plans, and continuing education funds.

What is the process after submitting an application?

After submitting your application, the recruiting team will review your resume, which may include a brief telephone interview or email communication with a recruiter. Management will conduct interviews with qualified candidates, prioritizing those who meet preferred qualifications.

Does the company participate in E-Verify?

Yes, we participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision.

How does the company support individuals with disabilities?

The company is committed to providing reasonable accommodations to individuals with physical and mental disabilities during the employment process. Requests for accommodations will be evaluated on a case-by-case basis.

image

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.