Appeals Coordinator

BlueCross BlueShield of South Carolina•Columbia, SC

2d•Hybrid

About The Position

Responsible for maintaining the proper flow of the request for appeals. Palmetto GBA – one of BlueCross BlueShield of South Carolina’s subsidiary companies. This is a full-time position (40 hours per week), with a Monday through Friday schedule. After completing training, you will transition to a hybrid work arrangement, working from home on Mondays and Fridays. You will work an 8-hour shift scheduled within the department's standard business hours of 7:00 a.m. to 7:45 p.m. Occasional overtime may be required based on business needs. This position is located at 17 Technology Circle, Columbia, SC 29203.

Requirements

High School Diploma or equivalent
1 year administrative support/clerical or job related experience.
Demonstrated proficiency in word processing and spreadsheet software.
Effective organizational and customer service skills.
Good judgment skills.
Proficiency in spelling, punctuation, and grammar skills.
Demonstrated written and verbal communication skills.
Microsoft Office.

Responsibilities

Researches requests, enters appropriate data to identify case specifics and builds appeals cases on the system.
Logs requests to appropriate functional area, generates letters, assembles files, orders records and obtains additional information as directed.
Ensures quality control of all appeals on the appeals system, pends documents to be saved electronically, and prepares case files for review and/or further routing.