Healthcare Provider File Specialist

4 days ago


Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full time
Job Summary

We are seeking a skilled Healthcare Provider File Specialist to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for establishing and maintaining certification and/or preparation, review and/or maintenance of healthcare provider files in support of provider directories, accurate/timely claims adjudication, and provider billing.

Key Responsibilities
  • Establish and maintain certification and/or preparation of healthcare provider files
  • Review and/or maintain provider directories to ensure accuracy and completeness
  • Support accurate and timely claims adjudication
  • Assist with provider billing and payment processing
Requirements
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work in a fast-paced environment
  • High school diploma or equivalent required; associate's or bachelor's degree preferred


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