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Claims Processor I

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BlueCross BlueShield of South Carolina

23d ago

  • Job
    Full-time
    Junior Level
  • Data
    Healthcare
  • Florence
  • Quick Apply

AI generated summary

  • You need a high school diploma, 1 year of healthcare or insurance experience, strong analytical and communication skills, and proficiency in word processing, spreadsheets, and databases.
  • You will research and process claims, verify codes, resolve edits and errors, and coordinate with departments to update patient and provider information.

Requirements

  • Required Education: High School Diploma or equivalent
  • Required Skills and Abilities: 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.
  • Ability to use complex mathematical calculations.
  • 1 year of experience in a healthcare or insurance environment.
  • 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. Verify the coding of procedure and diagnosis codes.
  • Resolve system edits, audits and claim errors through research and use of approved references and investigative sources.
  • Coordinate with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

FAQs

What are the working hours for the Claims Processor I position?

The working hours for the Claims Processor I position are full-time, Monday through Friday, totaling 40 hours per week.

Where is the Claims Processor I position located?

This position is located on-site at 300 North Dozier Blvd. Florence, SC 29501.

What qualifications do I need to apply for this position?

To qualify for this position, you need a High School Diploma or equivalent, along with strong analytical, organizational, and customer service skills.

Is prior experience in healthcare or insurance required?

While not required, 1 year of experience in a healthcare or insurance environment is preferred for this position.

What types of benefits does this job offer?

We offer a comprehensive benefits package that includes subsidized health plans, dental and vision coverage, a 401k retirement savings plan with company match, life insurance, paid time off (PTO), education assistance, and national discounts.

How will I be contacted after applying?

After submitting your application, our recruiting team will review your resume and may contact you for a brief telephone interview or email communication to verify resume specifics and salary requirements.

Does the company provide accommodations for individuals with disabilities?

Yes, we are committed to providing reasonable accommodations to individuals with disabilities and other specific needs, upon request, as long as it does not impose an undue hardship on the company.

Is there an equal opportunity employment policy?

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

What kind of skills do I need for this position?

You need strong analytical, organizational, and customer service skills, as well as proficient spelling, punctuation, grammar skills, and basic business math skills.

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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.