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Claims Processor I

Claims Processor I

BlueCross BlueShield of South CarolinaLancaster, CA, US
3 hours ago
Job type
  • Full-time
Job description

Claims Processor

Location : This position is full-time (40-hours / week) Monday-Friday from 8am-5pm and fully remote. The candidate may be asked to come on-site for training, meetings, or other business needs.

What You'll Do :

  • 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.

    • Our Comprehensive Benefits Package Includes the Following :

  • 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 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 :

    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 disabilities and 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

    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.

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    Claim • Lancaster, CA, US