Records Clerk I

BlueCross BlueShield of South Carolina•Nashville, TN

44d•Onsite

About The Position

Ensures the accuracy and quality of data that had been systematically or manually entered into an indexing system. Description Logistics: CGS (cgsadmin.com) – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role is located on-site at 26 Century Blvd, Suite 610, Nashville, TN 37214. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act ( SCA ). To comply with the McNamara-O'Hara Service Contract Act (SCA), employees must enroll in our health insurance even if they have other health insurance. Employees will receive supplemental pay for health insurance until they are enrolled in our health insurance, first of the month following 28 days after the hire date. What You’ll Do: Verify the accuracy and quality of the data entered into the indexing system. Make necessary corrections to ensure electronic data accurately reflects the original data. Prepare necessary reports on productivity and participate in special projects as assigned.

Requirements

High School Diploma or equivalent
Communicates appeals status
Documents appeals resolution
Processes appeals
Supports second level reviews
Works claims caseloads

Responsibilities

Verify the accuracy and quality of the data entered into the indexing system.
Make necessary corrections to ensure electronic data accurately reflects the original data.
Prepare necessary reports on productivity and participate in special projects as assigned.