Refund Analyst I

BlueCross BlueShield of South Carolina•Columbia, SC

7d•Onsite

About The Position

Reviews claims and processes refunds, including settlement of monies. Location: This position is full-time (40-hours/week) Monday-Friday from 7:30am-4:00pm in a typical office environment. This role is located on-site at 4101 Percival Rd. Columbia, SC 29229. After successfully completing 90 days of training, this position may transition to a hybrid work schedule based on performance and business needs. What You’ll Do: Research claims history to identify claims to be adjusted for refunds. Update claims systems to ensure that the refund process will be completed. Adjust claims history to reflect refunded amounts. Process transactions to post purged claims and special checks. Respond accurately and timely to inquiries from internal and external customers.

Requirements

High School Diploma or equivalent
1 year of claims processing experience.
Strong communication skills.
Strong analytical and organizational skills.
General knowledge of related processing support systems.
Basic math skills.
Microsoft Office.

Nice To Haves

1 year of refund experience.

Responsibilities

Research claims history to identify claims to be adjusted for refunds.
Update claims systems to ensure that the refund process will be completed.
Adjust claims history to reflect refunded amounts.
Process transactions to post purged claims and special checks.
Respond accurately and timely to inquiries from internal and external customers.