Lead Claims Clerk

BlueCross BlueShield of South Carolina•Florence, SC

3d•Onsite

About The Position

Assists management in the planning, coordination, and assignment of work across staff. Trains new staff, and assists staff with the proper processing methods. May screen, code and key claims in claims system. This position is full-time (40 hours/week), Monday-Friday, from 8:00AM to 5:00PM, and will be onsite at one of the following locations: 2743 Perimeter Pkwy, Augusta, GA 30909; 200 N Dozier Blvd, Florence, SC 29501; or 17 Technology Cir, Columbia, SC 29203.

Requirements

High School Diploma or equivalent.
4 years of experience in a claims operations environment to include data entry experience.
Organizational, judgment, and customer service skills.
Ability to handle confidential or sensitive information with discretion.
Flexibility to perform multiple functions, strong judgment and attention to detail.
Proficient spelling, punctuation, and grammar.
Microsoft Office.
Ability to type a minimum of 5000 KSPH and proficient with numeric keypad.

Nice To Haves

Intermediate in word processing, spreadsheet applications, and database software.

Responsibilities

Assembles and distributes electronic and hard copy claims to support staff.
May screen, code and key claims to ensure proper and accurate adjudication of claims in accordance with departmental standards for quality and production, contract regulations, policies and guidelines.
Processes edits and resolves errors through claims editing software.
Collects, sorts, and delivers completed claims to the appropriate area.
Documents errors and other important information throughout claims processing.
Assists support staff with questions throughout processing.