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Appeals Specialist

1 month ago

Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full time
Appeals Specialist Opportunity at BlueCross BlueShield of South Carolina

We are seeking a skilled Appeals Specialist to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for performing non-medical reviews and making requested corrections on submitted claims.

Key Responsibilities:
  • Conduct thorough reviews of appeals to ensure accurate and timely decisions
  • Collaborate with internal stakeholders to resolve claims and appeals
  • Develop and implement processes to improve efficiency and effectiveness in appeals management

Requirements: To be successful in this role, you will need strong analytical and communication skills, as well as the ability to work independently and as part of a team. If you are a detail-oriented and organized individual with a passion for healthcare, we encourage you to apply.