Claims Processing Specialist I

Blue Cross Blue Shiel; New York (NY); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health insurance

401k retirement savings plan with 회사매

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Job summary

BlueCross BlueShield of South Carolina is seeking a claims processor to ensure accurate and timely processing of claims in a full-time, on-site role in Columbia, SC. You will verify procedure and diagnosis codes, resolve edits and errors, and collaborate with internal teams to update patient and provider data.

The role requires strong analytical, organizational and communication skills, with a high school diploma or equivalent. On-site environment with comprehensive benefits is provided.

Qualifications

• High school diploma or equivalent required.
• Strong analytical, organizational, and customer service skills.
• Excellent oral and written communication; basic math.
• Proficiency with Word, Excel and database software preferred.

Responsibilities

• Researches and processes claims according to regulations and processing guidelines.
• Verifies the coding of procedure and diagnosis codes.
• Resolves system edits, audits and claims errors through research and references.
• Coordinates with internal departments to work edits and deferrals.

Skills

Analytical skills

Organizational skills

Customer service

Oral communication

Written communication

Spelling and grammar

Basic business math

Word processing

Spreadsheet applications

Database software

Education

High School Diploma or equivalent

Tools

Word processing

Spreadsheet applications

Database software

Job description

BlueCross BlueShield of South Carolina is seeking a claims processor to ensure accurate and timely processing of claims in a full-time, on-site role in Columbia, SC. You will verify procedure and diagnosis codes, resolve edits and errors, and collaborate with internal teams to update patient and provider data.

The role requires strong analytical, organizational and communication skills, with a high school diploma or equivalent. On-site environment with comprehensive benefits is provided.