Claims Processor I - Healthcare Claims, Myrtle Beach

Southcarolinablues; Myrtle Beach (SC); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Subsidized health plans

401k with company match

Paid Time Off

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

National discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a detail-oriented Claims Processor for on-site work in Myrtle Beach, SC. The role involves accurate processing of insurance claims, coding verification, and resolving system edits in a collaborative environment.

Applicants should have a high school diploma, strong analytical and communication skills, and the ability to work with confidential information. U.S.

Qualifications

• High School Diploma or equivalent required.
• Strong analytical, organizational and customer service skills.
• Good written and spoken communication; accurate spelling and grammar.

Responsibilities

• Researches and processes claims according to regulations, standards and guidelines.
• Verifies procedure and diagnosis codes and resolves edits and errors.
• Coordinates with internal departments to manage edits, deferrals and file updates.

Skills

Analytical skills

Organizational skills

Customer service

Oral & written communication

Spelling, grammar

Judgment

Basic math

Education

High School Diploma or equivalent

Tools

Word processing

Spreadsheets

Database software

Basic office equipment

Job description

BlueCross BlueShield of South Carolina is seeking a detail-oriented Claims Processor for on-site work in Myrtle Beach, SC. The role involves accurate processing of insurance claims, coding verification, and resolving system edits in a collaborative environment.

Applicants should have a high school diploma, strong analytical and communication skills, and the ability to work with confidential information. U.S.