Claims Processing Specialist – Healthcare Insurance

Pgba, Llc; Florence (SC); Presencial; USD 32.000 - 46.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Subsidized health plans

401k retirement savings plan with team

Paid Time Off (PTO)

Descripción de la vacante

BlueCross BlueShield of South Carolina is seeking a Claims Processor for on-site work in Florence, SC. The role involves accurate and timely processing of claims, coding verification, and coordinating with internal departments to resolve edits and deferrals. The position is full-time, Monday–Friday, 8:00am–5:00pm.

Requires a High School Diploma or equivalent and strong analytical, organizational, and communication skills. Benefits include health plans, 401k with company match, PTO, and more.

Formación

• High School Diploma or equivalent.
• Strong analytical, organizational and customer service skills.
• Strong oral and written communication skills.
• Basic business math skills.

Responsabilidades

• Researches and processes claims according to business regulation, internal standards and processing guidelines.
• Verifies the coding of procedure and diagnosis codes.
• Coordinates with internal departments to work edits and deferrals, updating patient identification and related files.

Conocimientos

Analytical skills

Customer service

Oral and written communication

Attention to detail

Educación

High School Diploma or equivalent

Herramientas

Word processing

Spreadsheet applications

Database software

Descripción del empleo

BlueCross BlueShield of South Carolina is seeking a Claims Processor for on-site work in Florence, SC. The role involves accurate and timely processing of claims, coding verification, and coordinating with internal departments to resolve edits and deferrals. The position is full-time, Monday–Friday, 8:00am–5:00pm.

Requires a High School Diploma or equivalent and strong analytical, organizational, and communication skills. Benefits include health plans, 401k with company match, PTO, and more.