Claims Processor I (On-Site)

Summary

We are hiring a Claims Processor I. In this roe you will be responsible for the accurate and timely processing of claims. If you are someone who pays strong attention to detail and research oriented, we would love for you to join our team!

Description

Logistics

This position is full-time (40 hours/week) Monday-Friday in a typical office environment on-site at our Florence, SC location.

What You'll Do

• Research and process claims according to business regulation, internal standards and processing guidelines
• You will be required to obtain a government (C-2) clearance
• 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
• Verifies the coding of procedure and diagnosis codes

To Qualify for This Position, You'll Need

• Strong oral and written communication skills.
• Basic business math skills.
• High School Diploma or equivalent
• Strong analytical, organizational and customer service skills.
• Good judgment skills.
• Proficient spelling, punctuation and grammar skills.
• Basic office equipment.

We Prefer That You Have

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

What We Can Do For You

Our comprehensive benefits package includes:

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

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.