Healthcare Claims Processor

001 BlueCross and BlueShield of South Carolina; Florence (SC); In loco; USD 34.000 - 52.000; Tempo pieno

Vantaggi offerti da questo lavoro

Education Assistance

401k Match

Paid Time Off

Health Benefits

On-site Cafeterias

Descrizione del lavoro

BlueCross BlueShield of South Carolina is seeking a claims processor to ensure accurate and timely processing of insurance claims. The role is on-site in Florence, SC, Monday through Friday, 40 hours weekly, with benefits and opportunities for professional growth.

The ideal candidate will have a High School Diploma or equivalent, strong analytical and communication skills, and basic math proficiency. Experience in healthcare or insurance is preferred.

Competenze

• High school diploma or equivalent required.
• Strong analytical, organizational and customer service skills.
• Excellent written and verbal communication skills.
• Good judgment skills.
• Basic business math skills.

Mansioni

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

Conoscenze

Strong analytical, organizational and

Formazione

High School Diploma or equivalent

Strumenti

Basic office equipment

Descrizione del lavoro

BlueCross BlueShield of South Carolina is seeking a claims processor to ensure accurate and timely processing of insurance claims. The role is on-site in Florence, SC, Monday through Friday, 40 hours weekly, with benefits and opportunities for professional growth.

The ideal candidate will have a High School Diploma or equivalent, strong analytical and communication skills, and basic math proficiency. Experience in healthcare or insurance is preferred.