Claims Processor I Jobs

Summary

We are hiring a Claims Processor I. In this role you will be responsible for the accurate and timely processing of claims.

Description

Logistics

This position is full-time opportunity with an 8-hour shift between the hours of 7:30 AM - 5:00 PM EST in a typical office environment. This opportunity is onsite in Florence, SC.

What You’ll Do

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

To Qualify for this Position, You’ll Need

• Good judgment skills. Basic business math skills.
• High School Diploma or equivalent
• Basic office equipment.
• Strong oral and written communication skills.
• One year-of experience in a healthcare or insurance environment. Good verbal and written communication skills.
• Strong analytical, organizational and customer service skills.
• Proficient spelling, punctuation and grammar skills.

We Prefer That You Have

• Ability to use Microsoft Suite(Outlook, Word, etc.) proficiently
• One year-of experience in a healthcare or insurance environment.
• Proficient in database software.
• Ability to use complex mathematical calculations.
• Keyboarding/typing and data entry skills
• Proficient in word processing and spreadsheet applications.

What We Can Do For You

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

Our Comprehensive Benefits Package Includes

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

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 a recruiter to verify resume specifics and salary requirements.

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.