Claims Processor I

BlueCross BlueShield of South Carolina • Columbia, SC

19h • Onsite

About The Position

Responsible for the accurate and timely processing of claims. This position is full-time (40-hours/week) Monday-Friday from 8:00am-5:00pm in a typical office environment, located on-site at 17 Technology Cir, Columbia, SC 29203. It requires the ability to obtain a security clearance, necessitating U.S. Citizenship. As a federal contractor subject to the Service Contract Act (SCA), employees must enroll in the company's health insurance, receiving supplemental pay for health insurance until enrollment is complete (first of the month following 28 days after the hire date).

Requirements

• High School Diploma or equivalent
• Strong analytical, organizational and customer service skills.
• Strong oral and written communication skills.
• Proficient spelling, punctuation and grammar skills.
• Good judgment skills.
• Basic business math skills
• Basic office equipment.
• Ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.

Nice To Haves

• Ability to use complex mathematical calculations.
• Proficient in word processing and spreadsheet applications.
• Proficient in database software.

Responsibilities

• Researches and processes claims according to business regulation, internal standards and processing guidelines.
• Verifies the coding of procedure and diagnosis codes.
• Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
• Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

Benefits

• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more
• Supplemental pay for health insurance until enrolled (first of the month following 28 days after the hire date) due to SCA requirements.
• Cover the difference in pay for full-time employees in the National Guard or Reserves called to active duty.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees