Claims Processor I: Precise, Growth-Ready Start

ourhrconnect; Columbia (SC); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

401k retirement savings plan

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

Job summary

BlueCross BlueShield of South Carolina is seeking a claims processor responsible for accurate and timely processing of claims in a full-time, on-site role at our Columbia office. The position requires the ability to obtain a security clearance as a U.S. citizen.

You will work Monday–Friday, 8:00am–5:00pm, with comprehensive benefits and a supportive team environment. Responsibilities include researching and processing claims, verifying coding accuracy, resolving edits, and coordinating with

Qualifications

• High school diploma or equivalent required.
• Strong analytical, organizational and customer service skills required.
• Strong oral and written communication skills; good spelling, punctuation and grammar.

Responsibilities

• Researches and processes claims according to regulations, standards and processing guidelines; verifies 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 and updates patient and insurance files as needed.

Skills

Analytical thinking

Organizational skills

Customer service

Communication skills

Spelling & grammar

Numerical skills

Education

High School Diploma or equivalent

Tools

Basic office software

Claims processing systems

Job description

BlueCross BlueShield of South Carolina is seeking a claims processor responsible for accurate and timely processing of claims in a full-time, on-site role at our Columbia office. The position requires the ability to obtain a security clearance as a U.S. citizen.

You will work Monday–Friday, 8:00am–5:00pm, with comprehensive benefits and a supportive team environment. Responsibilities include researching and processing claims, verifying coding accuracy, resolving edits, and coordinating with