Position Purpose:
In the role as a Claims Processor II, the ideal candidate will be able to resolve claims at a high volume and be responsible for reviewing and adjudicating complex or specialty claims. One will determine whether to return, deny, or pay claims following organizational policies and procedures. The ideal candidate will also be able to assist in training or mentoring new staff members.
Location: This position is part-time (30-hours/week) Monday-Friday in a typical office environment. You will work a 6-hour shift scheduled during our normal business hours. This role is located at 1000 Executive Center Dr., Greenville, SC 29616.
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.
To Qualify for This Position, You'll Need the Following:
Required Education: High School Diploma or equivalent
Required Skills and Abilities:
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.
Required Software and Tools: Basic office equipment.
We Prefer That You Have the Following:
Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment.
Preferred Skills and Abilities: Ability to use complex mathematical calculations.
Preferred Software and Other Tools:
Proficient in word processing and spreadsheet applications.
Proficient in database software.
Proficient in word processing and spreadsheet applications.
Our Comprehensive Benefits Package Includes the Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.
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
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information .
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Benefits
Health insuranceDental insuranceVision insurance401(k)Paid time off
Ourhrconnect · Greenville, SC