On-Site Claims Processor I – Myrtle Beach

Southcarolinablues

Myrtle Beach, Northern (SC, KY)

Hybrid

USD 36,000 - 48,000

Full time

4 days ago
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Benefits offered by this job

Health benefits
401k
Paid time off
On-site facilities
Education assistance
Service recognition
Discount programs

Job summary

BlueCross BlueShield of South Carolina seeks a Claims Processor I to handle accurate, timely processing of claims in an on-site Myrtle Beach office. The role requires attention to coding accuracy, adherence to guidelines, and collaboration with internal teams to fix issues.

Qualifications include a high school diploma, strong analytical and communication skills, plus basic math. This is a full-time, 40-hour position with standard business hours and on-site work responsibilities.

Qualifications

  • High School Diploma or equivalent required.
  • Strong analytical, organizational and customer service skills are essential.
  • Excellent written and verbal communication; accurate spelling and grammar.
  • Good judgment and basic business math abilities are needed.

Responsibilities

  • Research and process claims according to regulations and guidelines.
  • Verify coding of procedures and diagnoses; resolve edits and errors.
  • Coordinate with internal departments to update patient and provider information.
  • Assist with audits and defect investigations as needed.

Skills

Analytical skills
Organizational skills
Customer service
Oral and written communication
Spelling and grammar
Good judgment
Basic math

Education

High School Diploma

Tools

Basic office equipment
Word processing
Spreadsheets
Database software

Job description

BlueCross BlueShield of South Carolina seeks a Claims Processor I to handle accurate, timely processing of claims in an on-site Myrtle Beach office. The role requires attention to coding accuracy, adherence to guidelines, and collaboration with internal teams to fix issues.

Qualifications include a high school diploma, strong analytical and communication skills, plus basic math. This is a full-time, 40-hour position with standard business hours and on-site work responsibilities.

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