Assistant, Qualified Independent Contractor

033 Palmetto GBA • Florence, SC

439d

About The Position

The Assistant, Qualified Independent Contractor at BlueCross BlueShield of South Carolina is responsible for managing redetermination case files, ensuring accuracy and compliance with departmental standards. This full-time role involves administrative tasks such as validating and processing reconsideration requests, maintaining databases, and tracking claims data within specified timelines.

Requirements

• High School Diploma or equivalent.
• 1 year of administrative support, clerical, or claims experience.
• Good organizational skills.
• Decision-making abilities.
• Customer service skills.
• Detail-oriented with analytical or critical thinking skills.
• Proficiency in Microsoft Office.

Nice To Haves

• 2 years of clerical, research, or related office experience.
• Ability to handle confidential or sensitive information with discretion.
• Experience with Medicare Part B.

Responsibilities

• Validate and process reconsideration requests within designated timeliness and quality standards.
• Identify, retrieve, and prepare documentation for batching.
• Build case files in established format and annotate claims in appropriate systems for tracking and reporting.
• Copy, fax, and log data as required.
• Maintain databases and update systems to ensure timeliness and quality standards are met.

Benefits

• 401(k) retirement savings plan with company match.
• Subsidized health plans and free vision coverage.
• Life insurance.
• Paid annual leave that increases with tenure.
• Nine paid holidays.
• On-site cafeterias and fitness centers in major locations.
• Wellness programs and healthy lifestyle premium discount.
• Tuition assistance.
• Service recognition programs.
• Incentive Plan and 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