Part-Time Claims & Customer Service Advocate II

001 BlueCross and BlueShield of South Carolina; Florence (SC); On-site; USD 17,000 - 22,000; Part time

Job summary

BlueCross BlueShield of South Carolina is hiring a part-time Customer Service Advocate II in Florence, SC. You will respond to routine inquiries about claims or appeals and identify incorrectly processed claims for adjustments and reprocessing.

The role supports a diverse healthcare team in a typical office environment, with on-site work and a 20-hour workweek schedule. Prior customer service or claims processing experience is valued.

Qualifications

• High School Diploma or equivalent required.
• 2 years of customer service experience OR 1 year of claims/appeals processing experience plus 1 year of customer service experience OR Bachelor's Degree in lieu of work experience.
• Good verbal and written communication skills.
• Strong customer service skills.
• Good spelling, punctuation and grammar skills.
• Basic business math proficiency.
• Ability to handle confidential or sensitive information with discretion.

Responsibilities

• Researches and responds to telephone inquiries according to desk procedures, ensuring contract standards and objectives for timeliness, productivity, and quality are met.
• Research and respond to written inquiries and identify incorrectly processed claims and completes the adjustment and/or reprocessing action according to department guidelines.
• This may include initiating, documenting, and processing the request to completion.
• Initiate recoupments as necessary.
• Identifies complaints and inquiries of a complexity level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution.
• Identifies and reports potential fraud and abuse situations.
• Completes projects and/or assignments related to claims processing and customer service functions in the department.

Skills

Customer service

Verbal communication

Written communication

Business math

Discretion

Education

High School Diploma

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is hiring a part-time Customer Service Advocate II in Florence, SC. You will respond to routine inquiries about claims or appeals and identify incorrectly processed claims for adjustments and reprocessing.

The role supports a diverse healthcare team in a typical office environment, with on-site work and a 20-hour workweek schedule. Prior customer service or claims processing experience is valued.