Part-Time Claims & Appeals Advocate II

Blue Cross Blue Shiel; South Carolina; On-site; USD 21,000 - 28,000; Part time

Job summary

BlueCross BlueShield of South Carolina is seeking a part-time Customer Service Advocate II in Florence, SC. The role handles routine inquiries about claims or appeals and identifies incorrectly processed claims for adjustments and reprocessing.

The position requires a High School Diploma or equivalent and 2 years of customer service experience (or 1 year claims/appeals processing plus 1 year customer service). Training will run five weeks in-office.

Qualifications

• Requires High School Diploma or equivalent.

Responsibilities

• Respond to telephone inquiries according to desk procedures with timeliness and quality.
• Identify incorrectly processed claims and complete adjustments and reprocessing actions.
• Initiate recoupments as necessary.
• Escalate complex inquiries to a lead or manager for resolution.
• Complete projects related to claims processing and customer service.

Skills

Communication

Customer service

Math basics

Education

High School Diploma

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking a part-time Customer Service Advocate II in Florence, SC. The role handles routine inquiries about claims or appeals and identifies incorrectly processed claims for adjustments and reprocessing.

The position requires a High School Diploma or equivalent and 2 years of customer service experience (or 1 year claims/appeals processing plus 1 year customer service). Training will run five weeks in-office.