Claims Processor I
3 weeks ago
We are seeking a highly skilled Claims Processor I to join our team at BlueCross BlueShield of South Carolina. As a Claims Processor I, you will be responsible for accurately and efficiently processing claims in accordance with business regulations, internal standards, and processing guidelines.
Key Responsibilities- Research and process claims in a timely manner
- Verify coding of procedure and diagnosis codes
- Resolve system edits, audits, and claims errors through research and use of approved references and investigative sources
- Coordinate with internal departments to work edits and deferrals, updating patient identification, other health insurance, provider identification, and other files as necessary
- High School Diploma or equivalent
- Strong analytical, organizational, and customer service skills
- Strong oral and written communication skills
- Proficient spelling, punctuation, and grammar skills
- Good judgment skills
- Basic business math skills
- Basic office equipment
- 1 year of experience in a healthcare or insurance environment
- Ability to use complex mathematical calculations
- Proficiency in word processing and spreadsheet applications
- Proficiency in database software
This is a full-time, on-site position in a typical office environment. Training will be provided, and employees are required to work from 8:00 AM to 5:00 PM. Occasional overtime and weekends may be necessary.
Benefits- 401(k) retirement savings plan with company match
- Subsidized health plans and free vision coverage
- Life insurance
- Paid annual leave
- Nine paid holidays
- On-site cafeterias and fitness centers
- Wellness programs
- Tuition assistance
- Service Recognition
We are an equal opportunity employer and participate in E-Verify. 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, please contact us at [insert contact information].
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