Claims Processor I: Precision in Healthcare Claims

Southcarolinablues; Florence (SC); Hybrid; USD 36,000 - 52,000; Full time

Benefits offered by this job

401k retirement savings plan

Paid Time Off (PTO)

Education Assistance

On-site cafeterias and fitness centers

Job summary

BlueCross BlueShield of South Carolina is seeking a Claims Processor to ensure accurate and timely processing of claims at our Florence, SC site. The role involves researching claims, verifying codes, and resolving discrepancies in a team environment.

You will work Monday–Friday from 8am–5pm in an office setting with access to our comprehensive benefits package and opportunities for growth.

Qualifications

• High School Diploma or equivalent required.
• Strong analytical and organizational abilities are essential.
• Experience in customer service and effective written communication.
• Basic business math and good judgment expected.

Responsibilities

• Researches and processes claims according to policies and guidelines.
• Verifies coding of procedure and diagnosis codes.
• Resolves edits and errors through investigation and approved references.
• Coordinates with internal departments to update patient and provider data.

Skills

Analytical skills

Organizational skills

Customer service skills

Written communication

Good judgment

Basic math skills

Education

High School Diploma or equivalent

Tools

Word processing

Spreadsheet applications

Database software

Job description

BlueCross BlueShield of South Carolina is seeking a Claims Processor to ensure accurate and timely processing of claims at our Florence, SC site. The role involves researching claims, verifying codes, and resolving discrepancies in a team environment.

You will work Monday–Friday from 8am–5pm in an office setting with access to our comprehensive benefits package and opportunities for growth.