Appeals Coordinator

BlueCross BlueShield of South Carolina • Columbia, SC

13h • Onsite

About The Position

Responsible for maintaining the proper flow of the request for appeals. Description Location This position and training is onsite at 17 Technology Circle, Columbia, S.C., 29203 , full time (40 hours/week) Monday-Friday between the hours of 7am-7pm. What You Will Do: Research 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

Requirements

• Required Education: High school diploma or equivalent
• Required work experience: One year of healthcare administrative, clerical or job related experience
• Required Skills and abilities: Demonstrated proficiency in word processing and spreadsheet software, effective organizational and customer-service skills, good judgment, proficiency in spelling, punctuation and grammar, demonstrated written and oral communications skills, microsoft Office skills

Nice To Haves

• Three years-claims, customer service OR healthcare program management.
• Ability to persuade, negotiate, OR influence.
• Knowledge of Microsoft Access OR other database software.

Responsibilities

• Research 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
• Prepares case files for review and/or further routing

Benefits

• 401(k) retirement savings plan with company match.
• Subsidized health plans and free vision coverage.
• Life insurance.
• Paid annual leave – the longer you work here, the more you earn.
• Nine paid holidays.
• On-site cafeterias and fitness centers in major locations.
• Wellness programs and healthy lifestyle premium discount.
• Tuition assistance.
• Service recognition.
• Incentive Plan.
• Merit Plan.
• Continuing education funds for additional certifications and certification renewal.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED