Claims Processor I Part Time

BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 25,000 - 30,000; Part time

Benefits offered by this job

Health benefits

401K retirement with company match

Life Insurance

Paid Time Off

Job summary

BlueCross BlueShield of South Carolina is seeking a claims processor for full-time/part-time roles focused on accurate and timely processing of medical claims. The position is based in Columbia, SC, with a typical 30-hour workweek, and includes potential for work-from-home after a training period.

Travel between buildings may be required. The role requires a high school diploma, strong analytical and communication skills, basic math, and proficiency with standard office software.

Qualifications

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

Responsibilities

• Research 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 approved references.
• Coordinates with internal departments to work edits and deferrals, updating patient identification and other files as necessary.

Skills

Analytical

Organizational skills

Customer service

Education

High School Diploma or equivalent

Tools

Basic Office Equipment

Job description

Summary

Responsible for the accurate and timely processing of claims.

Description

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Position Purpose:

Responsible for the accurate and timely processing of claims.

Location:

This position is full-time (30 hours/week) Monday through Friday in a typical office environment or home environment. You will work the PT shift scheduled during our normal business hours of 8:00 AM - 5:00 PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located on-site at 4101 Percival Road, Columbia, SC . Training will be onsite Monday-Friday 8:00 AM -4:30PM for approximately 8-10 weeks. Travel required. This position will be eligible for W@H after performance review, training completion, equipment issuance and review of LOB business needs. Sponsorship : This position is not eligible for sponsorship now or in the future.

What You’ll Do:

• Research 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.

To Qualify for This Position, You'll Need the Following:

• Required Education:
  • High School Diploma or equivalent.
• Required Skills and Abilities:
  • Analytical 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
• Required Software and Tools:
  • Basic Office Equipment.

We Prefer That You Have the Following:

• Preferred Work Experience:
  • 1 year-of experience in a healthcare or insurance environment.
• Preferred Skills and Abilities:
  • Ability to use complex mathematical calculations.
• Preferred Software and Other Tools:
  • Proficient in word processing and spreadsheet applications.
  • Proficient in database software.

Our comprehensive benefits package includes the following :

• We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.
• Subsidized health plans, dental and vision coverage
• 401K retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Wellness program and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Employee Assistance
• Discounts on movies, theaters, zoos, theme parks and more

What We Can Do for You:

We strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those ac