Healthcare Claims Specialist

001 BlueCross and BlueShield of South Carolina; Florence (SC); On-site; USD 42,000 - 50,000; Full time

Benefits offered by this job

Health plans

401k with company match

Life Insurance

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 dedicated claims processor to ensure accurate and timely handling of claims. You will verify procedure and diagnosis codes, resolve edits, and collaborate with internal teams to update patient and provider information. Strong analytical and communication skills are essential.

This on-site position in Florence, SC offers full-time hours, benefits, and opportunities to contribute to a leading healthcare administrator within the PGBA organization.

Qualifications

• High School Diploma or equivalent.
• Strong analytical, organizational and customer service skills.
• Strong oral and written communication skills; good spelling, punctuation and grammar.

Responsibilities

• Researches and processes claims according to regulations and guidelines.
• Verifies coding of procedures and diagnoses.
• Resolves system edits and claim errors; coordinates with internal departments as needed.

Skills

Analytical skills

Organizational skills

Customer service

Communication skills

Spelling and grammar

Judgment

Basic math

Education

High School Diploma

Tools

Office equipment

Job description

BlueCross BlueShield of South Carolina is seeking a dedicated claims processor to ensure accurate and timely handling of claims. You will verify procedure and diagnosis codes, resolve edits, and collaborate with internal teams to update patient and provider information. Strong analytical and communication skills are essential.

This on-site position in Florence, SC offers full-time hours, benefits, and opportunities to contribute to a leading healthcare administrator within the PGBA organization.