Summary
 

We have a job opening for the position of Claims Processor I at BlueCross BlueShield of South Carolina. In this role, you are responsible for the accurate and timely processing of claims.

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy, consider joining our team!

Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.

Description
 

Logistics:

This position is full-time (40 hours/week) Monday – Friday in a typical office environment.  The work hours will be either 7:30 AM EST – 4:00 PM EST or 8:00 AM EST – 4:30 PM EST or 8:30 AM EST – 5:00 PM EST.  It may necessary, given the business need, to work occasional overtime and weekends.  This position is located onsite at 8901 Farrow Road, Columbia, SC, 29203.

What You’ll Do:

• You will research and process claims according to business regulations, internal standards and processing guidelines as well as verifying the coding of procedure and diagnosis codes.
• You’ll also resolve system edits, audits and claims errors through research and the use of approved references and investigative sources.
• The Claims Processor I will coordinate with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

To Qualify for This Position, You Will Need:

• High School Diploma OR equivalent
• To know how to operate standard office equipment.
• Strong analytical, organizational and customer service skills.
• Strong oral and written communication skills.
• Proficient spelling, punctuation, and grammar skills.
• Good judgment skills.
• Basic business math skills.

What We Prefer: 

• 1 year-of experience in a healthcare or insurance environment.
• Ability to use complex mathematical calculations.
• Proficient in word processing and spreadsheet applications.
• Proficient in database software.
• Ability to type 30 - 50 WPM.
• Strong attention to detail

What to Expect Next:

After submitting your application, our recruiting team will review your resume to ensure you meet the qualifications.  This may include a brief telephone interview or email communication with our recruiter to verify resume and salary requirements.

Management will be conducting interviews with the most qualified candidates, with prioritization given to those candidates who demonstrate the preferred qualifications.

 

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