Claims Processor I Jobs

Summary

Responsible for the accurate and timely processing of claims.

Description

What You'll Do:

• Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.
• Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
• Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.

To Qualify For This Position, You'll Need

• High School Diploma or equivalent
• Basic 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.

We Prefer You To Have

• Typical office or home environment.
• Ability to use complex mathematical calculations.
• 1 year-of experience in a healthcare or insurance environment.
• Proficient in word processing and spreadsheet applications. Proficient in database software.

What We Can Do For You

You are not alone. We are here to support you.

Our Comprehensive Benefits Package Includes

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

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.

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.