Healthcare Claims Processing Specialist I

001 BlueCross and BlueShield of South Carolina; Columbia (SC); Hybrid; USD 25,000 - 36,000; Full time

Benefits offered by this job

Subsidized health plans

401K retirement plan with companymatch

Life Insurance

PTO

Job summary

BlueCross BlueShield of South Carolina is seeking a detail-oriented claims processor to ensure accurate, timely processing of claims in a flexible work setting. The role is 30 hours per week, with on-site work at 4101 Percival Road, Columbia, SC, and potential for work-from-home after training.

Training occurs onsite Monday-Friday 8:00 AM-4:30 PM for 8-10 weeks with travel required. You will verify codes, resolve system edits, and coordinate with internal departments to update patient

Qualifications

• Strong analytical, organizational and customer service skills.
• Strong oral and written communication skills.
• Proficient spelling, punctuation and grammar skills.
• Good judgment skills.
• Basic business math skills.

Responsibilities

• Research 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 the patient identification, other health insurance, provider identification and other files as necessary.

Skills

Analytical skills

Organizational skills

Customer service

Communication skills

Spelling/grammar

Judgment

Basic math

Education

High school diploma

Tools

Office equipment

Job description

BlueCross BlueShield of South Carolina is seeking a detail-oriented claims processor to ensure accurate, timely processing of claims in a flexible work setting. The role is 30 hours per week, with on-site work at 4101 Percival Road, Columbia, SC, and potential for work-from-home after training.

Training occurs onsite Monday-Friday 8:00 AM-4:30 PM for 8-10 weeks with travel required. You will verify codes, resolve system edits, and coordinate with internal departments to update patient