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Lead Claims Clerk I

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BlueCross BlueShield of South Carolina

21d ago

  • Job
    Full-time
    Entry Level
  • Logistics
    Healthcare
  • Greenville
  • Quick Apply

AI generated summary

  • You need a high school diploma, strong analytical and communication skills, proficiency in spelling and basic math, good judgment, and familiarity with basic office equipment.
  • You will research and process claims, verify coding, resolve errors, and coordinate with departments to update patient and provider files as needed.

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.
  • Required Software and Tools: Basic office equipment

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

Do we support remote work?

This position is an on-site, full-time role located in Greenville, South Carolina, so remote work is not supported.

What are the required qualifications for this position?

The required qualifications include a High School Diploma or equivalent, strong analytical and organizational skills, excellent oral and written communication abilities, and basic business math skills.

What type of benefits does the company offer?

The company offers 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), on-site cafeterias and fitness centers, and education assistance.

What is the pay range for this position?

The pay range for this position is between $13.81 and $25.26 per hour, depending on factors such as experience, geographic location, and internal equity.

How can I apply for this position?

You can apply for this position by submitting your application through the company's designated application process.

Will I have the opportunity to advance my career in this position?

Yes, the company values a diverse and inclusive workplace and provides opportunities for employees to develop their skills and advance their careers.

Is there assistance available for individuals needing accommodations?

Yes, the company is committed to providing reasonable accommodations to individuals with disabilities and those needing assistance due to pregnancy-related conditions or religious beliefs. Requests for accommodations can be made via email or phone.

What does the selection process involve?

The selection process involves a review of your resume by the recruiting team, possibly followed by a brief telephone interview or email communication to verify details. Candidates who qualify will be prioritized for interviews with management.

Are there any specific software skills required for this role?

The role requires proficiency with basic office equipment, but specific software skills beyond that are not listed as a requirement.

Is this position part of a federal contractor?

Yes, the company is a federal contractor and maintains affirmative action programs for individuals with disabilities and protected veterans.

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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.