Claims Processing Specialist I — On-Site (Florence, SC)

Southcarolinablues; Florence (SC); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Health insurance

401k retirement plan with companymatch

Life Insurance

Paid Time Off (PTO)

On-site cafeterias

Education Assistance

Disability benefits

Job summary

BlueCross BlueShield of South Carolina is seeking an on-site Claims Processor I in Florence, SC. The role focuses on accurate, timely processing of medical claims, verification of codes, and collaboration with internal teams to resolve edits and ensure data accuracy.

The position requires a high school diploma or equivalent, strong analytical and customer service skills, and solid communication abilities. The environment is 40 hours weekly, with standard office hours.

Qualifications

• High School Diploma or equivalent required.
• Strong analytical and customer service skills.
• Excellent written and spoken communication; good grammar and spelling.

Responsibilities

• Research and process claims accurately and timely.
• Verify coding of procedures and diagnoses and resolve edits.
• Coordinate with internal departments to update patient and insurer information.
• Assist with audits and ensure compliance with processing guidelines.

Skills

Analytical thinking

Organizational skills

Customer service

Oral communication

Written communication

Spelling/grammar

Judgment

Basic math

Education

High School Diploma or equivalent

Tools

Word processing

Spreadsheets

Database software

Job description

BlueCross BlueShield of South Carolina is seeking an on-site Claims Processor I in Florence, SC. The role focuses on accurate, timely processing of medical claims, verification of codes, and collaboration with internal teams to resolve edits and ensure data accuracy.

The position requires a high school diploma or equivalent, strong analytical and customer service skills, and solid communication abilities. The environment is 40 hours weekly, with standard office hours.