Current jobs related to Medical Claims Specialist - West Columbia, South Carolina - BlueCross BlueShield of South Carolina
-
Medical Claims Specialist
5 days ago
Columbia, South Carolina, United States Spectraforce Technologies Full timeJob Title: Medical Claims SpecialistAt Spectraforce Technologies, we are seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or...
-
Insurance Claims Specialist
3 weeks ago
Columbia, South Carolina, United States Columbia Orthopaedic Group Full timeJob Title: Insurance Claims SpecialistColumbia Orthopaedic Group is seeking a highly skilled Insurance Claims Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for managing the entire lifecycle of insurance claims, from submission to resolution.Key Responsibilities:Verify patient insurance information and medical...
-
Medical Claims Specialist
2 weeks ago
Columbia, South Carolina, United States Washington Medical Supplies Full timeJob SummaryWe are seeking a highly skilled Medical Billing Clerk to join our team at Washington Medical Supplies. As a Medical Billing Clerk, you will be responsible for coordinating all Medicare/Medicaid/Insurance billing and prior authorizations.Key Responsibilities:• Coordinate all insurance billing and prior authorizations under general supervision.•...
-
Claims Resolution Specialist
2 weeks ago
West Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob SummaryWe are seeking a skilled Claims Customer Service Advocate I to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for responding to routine inquiries, identifying incorrectly processed claims, and completing adjustments and related reprocessing actions.Key ResponsibilitiesRespond to customer inquiries...
-
Claims Resolution Specialist
4 weeks ago
West Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob SummaryWe are seeking a skilled Claims Customer Service Advocate I to join our team at BlueCross BlueShield of South Carolina. As a Claims Customer Service Advocate I, you will be responsible for responding to routine inquiries, identifying incorrectly processed claims, and completing adjustments and related reprocessing actions.Key...
-
Customer Service Advocate II
5 days ago
West Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob SummaryWe are seeking a skilled Customer Service Advocate II - Claims Specialist to join our team at BlueCross BlueShield of South Carolina. As a key member of our customer service team, you will be responsible for responding to customer inquiries, researching and resolving complex claims issues, and providing exceptional service to our members.Key...
-
Customer Service Advocate II
1 week ago
West Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob SummaryWe are seeking a skilled Customer Service Advocate II - Claims Specialist to join our team at BlueCross BlueShield of South Carolina. As a key member of our customer service team, you will be responsible for responding to customer inquiries, researching and resolving claims, and providing exceptional service to our members.Key...
-
Medical Billing Specialist
2 weeks ago
Columbia, South Carolina, United States Midlands Neurology and Pain Associates, P.A. Full timeMedical Billing Specialist Position Overview At Midlands Neurology and Pain Associates, P.A., we are seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing all aspects of billing, including accounts receivables, claims submission, and payment posting. You will work closely...
-
Accounts Receivable Specialist
2 weeks ago
West Columbia, South Carolina, United States Doctors CareUCI Medical Affiliates, Inc. Full timeAccounts Receivable SpecialistDoctors Care/UCI Medical Affiliates, Inc. is seeking a highly skilled Accounts Receivable Specialist to join our team. As a key member of our Patient Accounting department, you will be responsible for resolving outstanding, unpaid, unprocessed, and denied claims submitted to third-party payers on behalf of our providers.Key...
-
Medical Billing Specialist
1 month ago
Columbia, South Carolina, United States Midlands Neurology and Pain Associates, P.A. Full timeMedical Billing Specialist Job DescriptionMidlands Neurology and Pain Associates, P.A. is seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing all aspects of billing, including accounts receivables, claims submission, and payment posting.Key Responsibilities:Manage claim...
-
Claims Processor
4 weeks ago
West Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob SummaryWe are seeking a highly organized and detail-oriented Claims Clerk to join our team at BlueCross BlueShield of South Carolina. As a Claims Clerk, you will play a critical role in ensuring the timely and accurate processing of claims.Key ResponsibilitiesScreen, code, and key claims to ensure proper and accurate adjudication in accordance with...
-
Accounts Receivable Specialist FT
6 days ago
West Columbia, South Carolina, United States Doctors CareUCI Medical Affiliates, Inc. Full timePosition Title: Accounts Receivable SpecialistSpecialty: Credit Balance (Experienced Professional)Location: Columbia, South CarolinaFull Time/Part Time: Full TimeCompany Overview:UCI Medical Affiliates, Inc. (UCI) provides non-medical management and administrative services to over 50 Doctors Care urgent care centers and 24 Progressive Physical Therapy...
-
Claims Processing Specialist
2 weeks ago
Columbia, South Carolina, United States Kelly Full timeJob SummaryWe are seeking a skilled Claims Processing Professional to join our team at a premier client in Columbia, SC. As a Claims Processing Professional, you will be responsible for reviewing and adjudicating complex or specialty claims according to organizational policies and procedures.Key ResponsibilitiesReview and adjudicate complex or specialty...
-
Insurance Claims Resolution Specialist
2 weeks ago
Columbia, South Carolina, United States BCA Financial Services, Inc. Full timeRemote Insurance Claims Collector OpportunityBCA Financial Services, Inc. is seeking a detail-oriented Insurance Claim Collector to work from home. The ideal candidate will have a minimum of 2 years medical insurance billing and claims follow-up experience.Key Responsibilities:Work with insurance companies to determine the cause of denial or non-payment of a...
-
Healthcare Claims Specialist
2 weeks ago
Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full timeWhy Choose BlueCross BlueShield of South Carolina?We're a trusted leader in the healthcare industry, with a rich history spanning over seven decades. Our roots are deeply embedded in the South Carolina community, and we're committed to providing exceptional service to our members.As a Claims Processor, you'll play a vital role in ensuring the accuracy and...
-
Insurance Claims Resolution Specialist
2 months ago
Columbia, South Carolina, United States WNS Global Services Full timeJob SummaryWe are seeking a highly skilled and bilingual Insurance Claims Representative to join our team at WNS Global Services. As a key member of our customer service team, you will be responsible for providing exceptional service to our clients and resolving insurance claims in a timely and efficient manner.Key ResponsibilitiesCustomer Service: Respond...
-
Claims Advocate
4 weeks ago
Columbia, South Carolina, United States Spectraforce Technologies Full timeJob Title: Claims Customer Service Advocate IILocation: Columbia, SCDuration: 5+ months assignmentShift: Mon-Fri 7:45 am-4:15pmJob Summary:We are seeking a highly skilled Claims Customer Service Advocate II to join our team at Spectraforce Technologies. As a Claims Customer Service Advocate II, you will be responsible for responding to customer inquiries,...
-
Claims Advocate
2 weeks ago
Columbia, South Carolina, United States Spectraforce Technologies Inc Full timeJob Title: Claims Customer Service Advocate ISpectraforce Technologies Inc is seeking a highly skilled Claims Customer Service Advocate I to join our team. As a Claims Customer Service Advocate I, you will be responsible for providing exceptional customer service and resolving claims in a timely and efficient manner.Key Responsibilities:Respond to Inquiries:...
-
Claims Advocate
4 weeks ago
Columbia, South Carolina, United States Spectraforce Technologies Inc Full timeJob Title: Claims Customer Service Advocate ILocation: RemoteDuration: 12 months assignment (Contract to Perm)Shift: Monday- Friday, 7:30am-4:00pmAbout the Role:We are seeking a highly skilled Claims Customer Service Advocate I to join our team at Spectraforce Technologies Inc. As a Claims Customer Service Advocate I, you will be responsible for responding...
-
PFS Biller
2 weeks ago
Columbia, South Carolina, United States Prisma Health Full timeJob SummaryWe are seeking a skilled PFS Biller to join our team at Prisma Health. As a PFS Biller, you will be responsible for accurately and timely submitting claims to various payer sources, following timely filing guidelines. Your attention to detail and ability to work independently will be essential in ensuring the success of this role.Key...
Medical Claims Specialist
2 months ago
We are currently hiring for an Appeals Specialist (Medicare Part B) to join BlueCross BlueShield of South Carolina. In this role as Appeals Specialist (Medicare Part B), you will perform non-medical reviews and processes redetermination letters. **Key Responsibilities:**
- Conduct thorough reviews of medical claims to ensure accuracy and fairness.
- Process redetermination letters in a timely and efficient manner.
- Collaborate with internal stakeholders to resolve disputes and ensure compliance with regulatory requirements.
**Why Choose This Role?**
- Opportunity to work with a reputable healthcare organization.
- Chance to make a meaningful impact on the lives of our members.
- Collaborative and dynamic work environment.
