Processor, Claims II

Job Title: Claims Processor IIWe are seeking a highly skilled Claims Processor II to join our team at Spectraforce Technologies. As a Claims Processor II, you will be responsible for reviewing and adjudicating complex or specialty claims, determining whether to return, deny or pay claims following organizational policies and procedures.Key...

Job SummaryThis role is responsible for reviewing, evaluating, and processing claims to ensure accuracy and compliance with organizational policies and procedures. The successful candidate will have strong analytical and problem-solving skills, with the ability to work independently and as part of a team.Key ResponsibilitiesReceive and process claims,...

Claims Processor I Job DescriptionAs a Claims Processor I, you will be responsible for the accurate and timely processing of claims. This role is ideal for individuals who are detail-oriented and have excellent analytical skills.Key Responsibilities:Process claims in a timely and accurate mannerReview and analyze claims data to ensure accuracy and...

About the RoleAs a Claims Processor I at BlueCross BlueShield of South Carolina, you will be responsible for the accurate and timely processing of claims. This involves reviewing and analyzing claims data to ensure compliance with company policies and regulatory requirements.Why Work with Us?At BlueCross BlueShield of South Carolina, we value our employees...

Job OverviewWhy consider a career with BlueCross BlueShield of South Carolina? With over seventy years of service, we have established ourselves as a cornerstone in the South Carolina community. Our A.M. Best rating of A+ (Superior) underscores our commitment to excellence, making us the premier health insurance provider in the state. We are also recognized...

This position processes mortgage loans, loan applications, and all associated documentation at a higher level of complexity. Validates application information for underwriting purposes and updates department systems accordingly. Prepares approved loa Mortgage Processor, Mortgage, Processor, Processing, Operations, Banking, Associate

Job SummaryWe are seeking a highly skilled Claims Customer Service Advocate II to join our team at BlueCross BlueShield of South Carolina. As a key member of our customer service team, you will be responsible for providing exceptional service to our customers by resolving complex claims and inquiries in a timely and accurate manner.Key...

Position OverviewWe are seeking a Customer Service Advocate II to join our team at BlueCross BlueShield of South Carolina. In this position, you will play a crucial role in addressing customer inquiries and providing exceptional service.Key ResponsibilitiesRespond to a variety of customer inquiries, ensuring clarity and satisfaction.Handle non-routine...

Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures....

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we’re stronger than ever. Our A.M. Best rating is A+...

Program Coordinator / Claims AnalystNormal Work Schedule: Monday - Friday (8:30 a.m. ET - 5:00 p.m. ET)Location: Columbia, SC (downtown); Onsite RequiredThere are a lot of jobs available right now. How do you know if this one might be right for you? We’ve compiled a few questions to help you make that decision!Are you looking for a career, not just a...

Program Coordinator / Claims AnalystNormal Work Schedule: Monday - Friday (8:30 a.m. ET - 5:00 p.m. ET)Location: Columbia, SC (downtown); Onsite RequiredThere are a lot of jobs available right now. How do you know if this one might be right for you? We’ve compiled a few questions to help you make that decision!Are you looking for a career, not just a...

Job SummaryWe are seeking a highly organized and detail-oriented Administrative Specialist II to join our team in the Billing Department. As a key member of our team, you will be responsible for processing insurance billing, resolving claims issues, and providing exceptional customer service.Key ResponsibilitiesProcess insurance billing electronically and...

Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical a Customer Service, Claims, Advocate, Service, Processing, Retail, Healthcare, Customer

Job SummaryWe are seeking a highly organized and detail-oriented Administrative Specialist II to join our team in the Billing Department. As a key member of our team, you will be responsible for processing insurance claims, managing billing systems, and providing exceptional customer service.Key ResponsibilitiesProcess insurance claims electronically and...

Job SummaryWe are seeking a highly skilled Medical Biller II to join our team at Infojini. As a Medical Biller II, you will play a critical role in providing clerical support and medical billing services to our clinic, ensuring compliance with Title X guidelines.Key ResponsibilitiesInterview clients to determine insurance status and obtain necessary...

General Summary of PositionMedStar Health is looking for a Coding Specialist II with experience in Vascular, Cardiac & EP coding to join our REMOTE team with the MedStar Medical Group!  This Coding Specialist II will support the MedStar Heart & Vascular Institute (MHVI) providers with surgical coding validations.  To qualify for a level II Coding...

Job Title: Managed Care Coordinator UM IIWe are seeking a highly skilled Managed Care Coordinator UM II to join our team at Experis. As a key member of our healthcare team, you will be responsible for reviewing and evaluating medical or behavioral eligibility regarding benefits and clinical criteria.Key Responsibilities:Reviews and evaluates medical or...

General Summary of Position MedStar Health is looking for a Coding Specialist II with experience in Vascular, Cardiac & EP coding to join our REMOTE team with the MedStar Medical Group! This Coding Specialist II will support the MedStar Heart & Vascular Institute (MHVI) providers with surgical coding validations. To qualify for a level II Coding Specialist,...

Position OverviewWe are seeking a Customer Service Advocate II to join our team at BlueCross BlueShield of South Carolina. In this role, you will play a crucial part in addressing customer inquiries and providing exceptional service.Key ResponsibilitiesRespond to a variety of customer inquiries with professionalism and accuracy.Utilize problem-solving skills...