BlueCross BlueShield of South Carolina

Florence, SC, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Are you an experienced Claims Processor looking for an opportunity to join a successful team and make a difference? BlueCross BlueShield of South Carolina is currently seeking an experienced Claims Processor to join our team. In this role, you will be responsible for processing, adjudicating and resolving claims. We are looking for a highly organized and detail-oriented individual with excellent problem-solving skills.To be successful in this role, you should have at least 3 years of experience working with claims processing, be able to work independently, and have a thorough understanding of medical terminology and coding. You should also have excellent communication and customer service skills. Knowledge of government healthcare programs is a plus. If you are committed to providing high-quality customer service and want to join a team that will value your contributions, then we would love to hear from you.

Responsibilities:

  1. Process, adjudicate and resolve claims in a timely manner.
  2. Maintain a high level of accuracy and attention to detail while handling claims.
  3. Utilize medical terminology and coding to ensure accuracy.
  4. Work independently to meet goals and objectives.
  5. Provide excellent customer service and communication.
  6. Resolve customer inquiries and complaints related to claims processing.
  7. Maintain a thorough understanding of government healthcare programs.
  8. Follow all applicable laws, regulations and policies related to claims processing.
  9. Monitor and review claims for accuracy and completeness.
  10. Develop and implement procedures to ensure accurate and timely processing of claims.
Where is this job?
This job is located at Florence, SC, USA
Job Qualifications
  • Excellent Written And Verbal Communication Skills

  • Ability To Work In A Fast-Paced Environment

  • Proficiency With Microsoft Office Suite

  • Knowledge Of Medical Terminology And Coding

  • Degree In Business Administration

  • Ability To Multitask And Prioritize Tasks

  • Proven Ability To Provide Excellent Customer Service

  • Working Knowledge Of Health Insurance Claims Processing

Required Skills
  • Documentation

  • Data Entry

  • Communication

  • Time Management

  • Filing

  • Attention to detail

  • customer service

  • Organization

  • Problem-Solving

  • Multi-tasking

  • Analyzing

  • Accuracy

  • Record-Keeping

  • Insurance Knowledge

  • Claim Processing

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • Critical thinking

  • Creative Thinking

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a Claims Processor in Florence, SC, USA is between $30,000 and $45,000 per year. Salary ranges can vary depending on the specific job responsibilities, the employer, and the industry. Experience and qualifications can also affect the salary range.

Additional Information
BlueCross BlueShield of South Carolina is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 30th, 2023
Apply BeforeJuly 20th, 2025
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About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. BlueCross serves 21.5 million people through private business and government contracts.

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