Claims Processor I - Precise, On-Site Claims

Southcarolinablues; Columbia (SC); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Subsidized health plans

Dental and vision coverage

401k with company match

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

National discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a Claims Processor I for an on-site, full-time role in Columbia, SC. You will process claims accurately, verify coding, and resolve errors while coordinating with internal teams to ensure timely payments.

The position requires a high school diploma and strong analytical and communication skills, with potential for growth within the PGBA subsidiary. Competitive benefits are provided.

Qualifications

• Requires High School Diploma or equivalent.
• Strong analytical, organizational and customer service skills.
• Excellent oral and written communication; good spelling and grammar.

Responsibilities

• Researches and processes claims according to regulations and guidelines.
• Verifies coding of procedure and diagnosis codes.
• Resolves system edits and claims errors through investigation and references.
• Coordinates with internal departments to resolve edits and deferrals.

Skills

Analytical skills

Organizational skills

Customer service

Oral and written communication

Spelling, punctuation and grammar

Business math

Education

High School Diploma or equivalent

Tools

Word processing

Spreadsheets

Database software

Job description

BlueCross BlueShield of South Carolina is seeking a Claims Processor I for an on-site, full-time role in Columbia, SC. You will process claims accurately, verify coding, and resolve errors while coordinating with internal teams to ensure timely payments.

The position requires a high school diploma and strong analytical and communication skills, with potential for growth within the PGBA subsidiary. Competitive benefits are provided.