Entry-Level Claims Specialist – Accurate & Timely Processing

001 BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Subsidized health plans

Dental and vision coverage

401k retirement savings

Life Insurance

Paid Time Off

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

Discount programs

Job summary

BlueCross BlueShield of South Carolina is seeking a Claims Processor for full-time on-site work at our Columbia, SC location. You will process and verify medical claims, ensure accurate coding, and resolve errors with cross-department collaboration.

The role requires a high school diploma or equivalent and strong analytical, organizational and communication skills. We offer comprehensive benefits and a stable, long-term career path within a federal contractor environment.

Qualifications

• Required Education: High School Diploma or equivalent.
• Required Skills and Abilities: Strong analytical, organizational and customer service skills; strong oral and written communication; good spelling, punctuation and grammar; good judgment; basic business math.
• Preferred Skills: Claims processing experience.
• Preferred Software/Tools: Proficient in word processing and spreadsheet apps; proficient in database software.

Responsibilities

• Researches 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 patient identification and other files as necessary.

Skills

Analytical skills

Organizational skills

Customer service

Oral and written communication

Spelling/grammar

Judgment

Business math

Education

High School diploma or equivalent

Tools

Basic office equipment

Job description

BlueCross BlueShield of South Carolina is seeking a Claims Processor for full-time on-site work at our Columbia, SC location. You will process and verify medical claims, ensure accurate coding, and resolve errors with cross-department collaboration.

The role requires a high school diploma or equivalent and strong analytical, organizational and communication skills. We offer comprehensive benefits and a stable, long-term career path within a federal contractor environment.