Location
This position is full-time (40 hours/week) Monday-Friday from 8:00am-5:00pm EST and will be hybrid in Florence, SC.
What You’ll Do:
Processes denials of claims. Processes adjustment claims for both pre-pay and post-pay departments.
Investigates and analyzes adjustment claim history and denial records.
Prescreens records for review and maintains accurate records of all claims.
Communicates with provider community and assists provider service department in responding to inquiries. Generates educational correspondence to providers regarding denials.
Performs quality control of work processes.
Assists manager with special projects.
To Qualify for This Position, You'll Need the Following:
Required Education: Associate's degree
Degree Equivalency: 2 years of job-related work experience
Required Work Experience: 1 year of administrative/clerical support.
Required Skills and Abilities: Working knowledge of word processing software.
Strong analytical, organizational, and customer service skills.
Strong verbal and written communication skills.
Proficiency in spelling, punctuation, and grammar skills.
Good judgment skills.
Ability to handle confidential or sensitive information with discretion.
Required Software and Tools: Microsoft Office.
Our Comprehensive Benefits Package Includes the Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
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