Technician, Reimbursement

BlueCross BlueShield of South Carolina•Columbia, SC

1d•Onsite

About The Position

Responsible for handling pricing deferrals, analyzing claims data to establish state prevailings, and answering questions from other associates on pricing issues. Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This position is not eligible for sponsorship now or in the future.

Requirements

High School Diploma or Equivalent
2 years of related claims, healthcare, or customer service experience.

Responsibilities

Responsible for handling pricing deferrals and analyzing claims data to establish state prevailings.
Assists in updating fee schedules and in the review/validation for routine pricing updates.
Calculates prepayment pricing information and accurate and verifiable pricing for procedures with non-established rates.
Reviews claims for post payment information.
Assists in departmental issues with the reimbursement program.
Communicates with other areas regarding pricing problems and inquiries.
Maintains all pricing file documentation for reference and future pricing.