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Claims Processor Ii Jobs
Company | BlueCross BlueShield of South Carolina |
Address | Nashville, TN, United States |
Employment type | FULL_TIME |
Salary | |
Category | Insurance |
Expires | 2023-09-08 |
Posted at | 9 months ago |
Summary
- Correct processing errors by reprocessing, adjusting, and/or recouping claims
- Verify that claims have been keyed correctly
- Perform research on claim problems by utilizing policies, procedures, reference materials, forms, and coordinates with various internal support areas
- Enter claims into the claim system after verification of correct coding of procedures and diagnosis codes
- Examine and process complex or specialty claims according to business/contract regulations, internal standards and examining guidelines
- Research and resolve claims edits and deferrals
- Respond to routine correspondence and completes spreadsheet if applicable
- Ensure that claims are processing according to established quality and production standards
- High School Diploma or equivalent
- Proficient in spelling, punctuation, and grammar
- Strong organizational, analytical and judgment skills
- Proficient in basic business math
- Ability to handle confidential or sensitive information with discretion
- Strong oral and written communication skills
- Microsoft Office
- 2 years of experience processing, researching, and adjudicating claims
- 5 years-of experience processing and adjudicating claims
- Proficient in word processing and spreadsheet applications
- Knowledge of mathematical and statistical concepts
- Strong time management skills
- Proficient database software skills
- 401K retirement savings plan with company match
- Life Insurance
- On-site cafeterias and fitness centers in major locations
- Subsidized health plans, dental and vision coverage
- Wellness program and healthy lifestyle premium discount
- Tuition assistance
- Employee Assistance
- Paid Time Off (PTO)
- Service recognition
- Discounts to movies, theaters, zoos, theme parks and more
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