Claims Processing Specialist

Southcarolinablues; Columbia, Northern (SC, KY); Hybrid; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health insurance

401k with company match

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Job summary

BlueCross BlueShield of South Carolina is seeking a full-time Claims Processor to ensure accurate and timely processing of health insurance claims. The role requires on-site work in Columbia, SC, with standard 40-hour weeks and potential coordination with internal teams to resolve discrepancies.

The candidate should have a high school diploma, strong analytical and communication skills, and basic math proficiency. Sponsorship is not available, and U.S.

Qualifications

• High School Diploma or equivalent.
• 1 year of experience in healthcare or insurance environment preferred.
• Strong analytical, organizational and customer service skills.
• Proficient spelling, punctuation and grammar; good judgment.

Responsibilities

• Research and process claims according to regulations, standards and processing guidelines.
• Verify procedure and diagnosis code accuracy; resolve system edits and errors.
• Coordinate with internal departments to update patient and provider records as needed.

Skills

Analytical skills

Organizational skills

Customer service

Communication skills

Basic business math

Education

High School Diploma or equivalent

Tools

Word processing

Spreadsheets (Excel)

Database software

Job description

BlueCross BlueShield of South Carolina is seeking a full-time Claims Processor to ensure accurate and timely processing of health insurance claims. The role requires on-site work in Columbia, SC, with standard 40-hour weeks and potential coordination with internal teams to resolve discrepancies.

The candidate should have a high school diploma, strong analytical and communication skills, and basic math proficiency. Sponsorship is not available, and U.S.