Appeals Specialist (Medicare Part B) - Palmetto Gba

Summary

We at BlueCross BlueShield have an employment opportunity for an Appeals Specialist in Medicare Part B. This person will perform non-medical reviews and processes redetermination letters.

Description

Logistics: The position will be onsite in a Palmetto office.

What You Will Do

• May gather and prepare documentation for legal inquiries and administrative requests.
• Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy.
• Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools.
• Updates letters and documents within the department when necessary.

What We Require

• Microsoft Office.
• High School Diploma or equivalent
• Two years of job-related field.

What We Prefer

• Experience working with Medicare Part B
• Prior medical office or insurance experience strongly preferred.

What We Can Do For You

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Our Comprehensive Benefits Package Includes

• Paid annual leave — the longer you work here, the more you earn
• On-site cafeterias and fitness centers in major locations
• Service recognition
• Tuition assistance
• Nine paid holidays
• 401(k) retirement savings plan with company match
• Life insurance
• Wellness programs and a healthy lifestyle premium discount
• Fantastic health plans and free vision coverage

What To Expect Next

After submitting your application, our recruiting team members 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 specifics and salary requirements. Management will be conducting interviews with the most qualified candidates with prioritization given to those candidates who demonstrate the preferred qualifications.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.