Part-Time Claims & Appeals Specialist II

001 BlueCross and BlueShield of South Carolina; Florence (SC); In loco; USD 21.000 - 30.000; Part-time

Descrizione del lavoro

BlueCross BlueShield of South Carolina is hiring a part‑time Customer Service Advocate II in Florence, SC. The role involves responding to routine inquiries about claims/appeals, identifying incorrectly processed claims, and performing adjustments and reprocessing actions. The position is on-site with a 20-hour work week and structured training.

Work hours are Monday–Friday, 11:00am–3:00pm, with training 8:00am–4:30pm for five weeks. Sponsorship is not available now or in the future.

Competenze

• High School Diploma or equivalent is required.
• 2 years of customer service experience OR 1 year of claims/appeals processing plus 1 year of customer service, OR a Bachelor's degree in lieu of work experience.
• Strong verbal and written communication, with good spelling, punctuation, and grammar.
• Proficiency in basic business math and handling confidential information.
• Microsoft Office is required.

Mansioni

• Respond to telephone inquiries according to desk procedures.
• Respond to written inquiries and adjust claims per guidelines.
• Initiate, document, and process requests to completion.
• Initiate recoupments as necessary.
• Escalate complex inquiries to a lead or manager for resolution.
• Identify potential fraud and abuse situations.
• Complete projects related to claims processing and customer service.

Conoscenze

Verbal communication

Written communication

Customer service

Attention to detail

Discretion

Formazione

High School Diploma or equivalent

Bachelor's degree in lieu of experience

Strumenti

Microsoft Office

Descrizione del lavoro

BlueCross BlueShield of South Carolina is hiring a part‑time Customer Service Advocate II in Florence, SC. The role involves responding to routine inquiries about claims/appeals, identifying incorrectly processed claims, and performing adjustments and reprocessing actions. The position is on-site with a 20-hour work week and structured training.

Work hours are Monday–Friday, 11:00am–3:00pm, with training 8:00am–4:30pm for five weeks. Sponsorship is not available now or in the future.