Healthcare Claims Processor - On-Site, 40hrs/Week

001 BlueCross and BlueShield of South Carolina; Florence (SC); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Vision coverage

401k with company match

Paid Time Off

Job summary

BlueCross BlueShield of South Carolina is seeking a full-time Claims Processor in Florence, SC to accurately process and timely complete claims. The position is on-site at 200 N Dozier Blvd., Florence, SC 29501, Monday–Friday, 8:00am–5:00pm.

You will research and process claims per regulations, verify procedure/diagnosis codes, and coordinate with internal teams to resolve edits and deferrals while maintaining patient and provider information.

Qualifications

• High School Diploma or equivalent.
• 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

• 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.

Skills

Analytical skills

Organizational skills

Customer service

Oral communication

Written communication

Grammar & punctuation

Judgment

Basic math

Education

High School Diploma or equivalent

Tools

Office equipment

Job description

BlueCross BlueShield of South Carolina is seeking a full-time Claims Processor in Florence, SC to accurately process and timely complete claims. The position is on-site at 200 N Dozier Blvd., Florence, SC 29501, Monday–Friday, 8:00am–5:00pm.

You will research and process claims per regulations, verify procedure/diagnosis codes, and coordinate with internal teams to resolve edits and deferrals while maintaining patient and provider information.