Claims Processor I - Detail-Oriented, On-Site (Columbia)

Southcarolinablues; Columbia (SC); Sur place; USD 35 000 - 52 000; Plein temps

Avantages offerts par ce poste

Subsidized health plans

401k with company match

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Résumé du poste

BlueCross BlueShield of South Carolina is seeking a claims processor for an on-site role in Columbia. The position focuses on researching and processing claims, verifying procedure and diagnosis codes, and resolving edits and errors to ensure accurate payouts. The role requires strong analytical, organizational and communication skills.

Located at 17 Technology Cir, Columbia, SC, the job operates Monday–Friday, 8:00am–5:00pm in a typical office environment. Candidates must be U.S.

Qualifications

• High School Diploma or equivalent required.
• Strong analytical, organizational and customer service skills.
• Strong oral and written communication skills.
• Proficient spelling, punctuation and grammar skills.
• Good judgment skills.
• Basic business math skills.

Responsabilités

• Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
• Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
• Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

Connaissances

Analytical thinking

Organizational skills

Customer service

Oral and written communication

Spelling, punctuation, grammar

Good judgment

Basic business math

Formation

High School Diploma or equivalent

Outils

Word processing

Spreadsheet

Database software

Description du poste

BlueCross BlueShield of South Carolina is seeking a claims processor for an on-site role in Columbia. The position focuses on researching and processing claims, verifying procedure and diagnosis codes, and resolving edits and errors to ensure accurate payouts. The role requires strong analytical, organizational and communication skills.

Located at 17 Technology Cir, Columbia, SC, the job operates Monday–Friday, 8:00am–5:00pm in a typical office environment. Candidates must be U.S.