Health Claims Processor I — Part-Time, On-Site Florence

Southcarolinablues

Florence (SC)

Hybrid

USD 23,000 - 32,000

Part time

7 days ago
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Benefits offered by this job

Subsidized health plans
Dental and vision coverage
401k with company match
Paid Time Off
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 to join our Florence team. This on-site, part-time role (20 hours/week) runs Monday–Friday, 8am–12pm, with five weeks of training from 8am–4:30pm.

You will research and process claims, verify procedure and diagnosis codes, resolve edits, and coordinate with internal departments. We seek candidates with a high school diploma, strong analytical and communication skills, and basics in business math.

Qualifications

  • High School Diploma or equivalent required.
  • Strong analytical, organizational and customer service skills.
  • Strong oral and written communication skills.
  • Proficient spelling, punctuation and grammar.
  • Good judgement and basic math skills.

Responsibilities

  • Researches and processes claims according to business regulations and processing guidelines.
  • Verifies coding of procedure and diagnosis codes.
  • Resolves system edits, audits and claims errors.
  • Coordinates with internal departments to work edits and deferrals and update patient IDs and files.

Skills

Analytical skills
Organizational skills
Customer service
Oral and written communication
Spelling, punctuation and grammar
Good judgement
Basic business math

Education

High School Diploma or equivalent

Tools

Basic office equipment

Job description

BlueCross BlueShield of South Carolina is seeking a Claims Processor I to join our Florence team. This on-site, part-time role (20 hours/week) runs Monday–Friday, 8am–12pm, with five weeks of training from 8am–4:30pm.

You will research and process claims, verify procedure and diagnosis codes, resolve edits, and coordinate with internal departments. We seek candidates with a high school diploma, strong analytical and communication skills, and basics in business math.

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