EDI Operations II Associate

Palmetto GBA; Columbia (SC); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

subsidized health plans

dental and vision coverage

401k retirement savings plan with公司

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 in Columbia is seeking a detail-oriented technical support professional to provide first and second level assistance to the submitter community and internal teams, with a focus on EDI issues and related insurance transactions. This full-time, on-site role runs 40 hours weekly, 8:30 am to 5:00 pm, with occasional overtime.

You will work at 17 Technology Circle, Columbia, SC 29203 and collaborate with our contracts teams to ensure accurate enrollment, claims

Qualifications

• Associate degree in a job-related field.
• 2 years of job-related work experience.
• 2 years of applicable EDI experience.
• Strong system research, analysis, and communication skills.
• Ability to handle confidential information with discretion.

Responsibilities

• Provides quality/timely internal/external customer technical support for insurance contracts.
• Supports enrollment, claims status, eligibility, and related EDI transactions.

Skills

System research

EDI software

Organizational skills

Communication skills

Confidential data handling

Math and computer skills

Education

Associate degree

Tools

Microsoft Office

Job description

Summary

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

Provides first and second level technical support to a variety of customers comprising the submitter community, as well as basic internal support via analysis and research into EDI (Electronic Data Interchange)-related issues as required by business contracts.

Location

This position is full-time (40 hours/week) Monday-Friday in a typical office environment. You will work an 8 hour shift scheduled during our normal business hours of 8:30 am - 5:00 pm. It may be necessary, given the business need to work occasional overtime. This role is fully on-site at 17 Technology Circle, Columbia SC 29203.

Sponsorship

This position is not eligible for sponsorship now or in the future.

SCA Benefit Requirements

BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment.

What You’ll Do

• Provides quality/timely internal/external customer technical support/service for variety of insurance contracts as assigned. This encompasses, but is not limited to, support of communication interfaces/transactions/functions as required by insurance laws (such as support of claims, remit advices, inquiry/response for claims status/eligibility, enrollment, premium payment etc.), support of all current formats/transactions required by law/BCBSSC lines of business.
• Responsible for the setup of all electronic transactions submission by processing enrollment applications, updating associated system files, and managing customer notification.

To Qualify for This Position, You’ll Need the Following

Required Education

• Associate’s in a job-related field.

Degree Equivalency

• 2 years job related work experience.

Required Work Experience

• 2 years of applicable EDI (Electronic Data Interchange) experience.

Required Skills and Abilities

• Good system research and analysis skills.
• Working knowledge of relevant EDI (Electronic Data Interchange) software and tools used by the company/contract.
• Good organizational, judgment, customer service, and both verbal and written communication skills.
• Good spelling, punctuation, and grammar skills.
• Basic math and computer skills.
• Ability to handle confidential or sensitive information with discretion.

Required Software and Other Tools

• Microsoft Office.

We Prefer That You Have

Preferred Work Experience

• 5 years of applicable EDI (Electronic Data Interchange) experience.

Preferred Skills and Abilities

• Knowledge of INFO, EPClaims

Our Comprehensive Benefits Package Includes The Following

We offer our employees great benefits and rewards. You will be eligible to participate in our benefits program the first of the months 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
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You

We understand the value of a diverse and inclusive workplace and 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.

What To Expect Next

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

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 disabilitiesand 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 accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email [e-mail] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here’s moreinformation.

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