FCMB Claims Customer Service Advocate II

Summary

Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.

Description

Logistics :

PGBA is a subsidiary company of BlueCross BlueShield of South Carolina.

Location :

This position is full-time (40 hours / week) Monday-Friday in a typical office environment. Employees are required to have flexibility to work an 8-hour shift scheduled during hours of 10 : 00 AM 7 : 00 PM with possible OT from 8 : 00 AM-7 : 00 PM Monday-Friday. Training will be Monday Friday 8 : 00 AM - 4 : 30 / 5 : 00 PM for approximately 6-8 weeks. This role is located on site at 1200 N. Dozier Blvd. Florence SC

Government Clearance : This position requires the ability to obtain a security clearance which requires applicants to be a U.S. Citizen.

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 ). Under the McNamara-OHara Service Contract Act (SCA) employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

What Youll Do :

Responds to written and / or telephone inquiries according to desk procedures ensuring that contract standards and objectives for timeliness productivity and quality are met. Accurately documents inquiries. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.

Examines and processes claims and / or non-medical appeals according to business / contract regulations internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Ensure claims are processed according to established quality and production standards.

Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly reports and / or refers suspected fraudulent activities and system errors to the appropriate departments.

To Qualify for This Position Youll Need the Following :

Required Education :

High School Diploma or equivalent

Required Work Experience :

1 year of experience in claims / appeals processing customer service or other related support area OR Bachelors Degree in lieu of work experience.

Required Skills and Abilities :

Good verbal and written communication skills.

Strong customer service skills. Good spelling punctuation and grammar skills.

Basic business math proficiency.

Ability to handle confidential or sensitive information with discretion.

Required Software and Tools :

Microsoft office

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

Wellness program and healthy lifestyle premium discount

Tuition assistance

Service recognition

Employee Assistance

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.

Management will conduct interviews with those candidates who qualify with prioritization given to those candidates who demonstrate the required qualifications.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age race color national origin sex religion veteran status disability weight sexual orientation gender identity genetic information or any other legally protected status. Additionally as a federal contractor the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities pregnant individuals individuals with pregnancy-related conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment please email or call 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. Heres moreinformation .

Some states have required notifications. Heres more information.

Key Skills

Typing,Data Entry,Customer Service,Basic Math,Computer Skills,Windows,Banking,Upselling,Pricing,Sanitation,Cash Handling,Stocking

Employment Type : Full-Time

Experience : years

Vacancy : 1