BlueCross BlueShield of South Carolina

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

At BlueCross BlueShield of South Carolina, we are looking for a Claims Processor to join our Claims Department. The ideal candidate will be responsible for processing medical, vision, and dental claims to ensure timely and accurate payments. The successful candidate will have a keen eye for detail, strong organizational skills, and the ability to handle a fast-paced environment.The ideal candidate for this position will possess: • At least one year of experience in claims processing or related field • Knowledge of medical terminology and coding • Excellent communication and customer service skills • Ability to work independently and as part of a team • Proficiency in Microsoft Office Suite • A commitment to accuracy and detail If you have the qualifications and are eager to join our team, then we invite you to apply for this exciting opportunity. We look forward to hearing from you!

Responsibilities:

  1. Process medical, vision, and dental claims in a timely and accurate manner.
  2. Ensure accuracy of data entry, coding, and payment information.
  3. Investigate and resolve discrepancies within claim processing.
  4. Maintain accurate records and documentations of claims processing.
  5. Monitor claims processing systems for accuracy and efficiency.
  6. Respond to inquiries from customers or other departments about claims processing.
  7. Follow-up with customers or third-parties to ensure resolution of claims.
  8. Develop and implement strategies for improving claims processing.
  9. Ensure compliance with applicable laws and regulations.
  10. Provide customer service assistance to patients, providers, and other stakeholders.
Where is this job?
This job is located at Greer, SC, USA
Job Qualifications
  • Excellent Written And Verbal Communication Skills

  • High School Diploma Or Equivalent

  • Excellent Customer Service Skills

  • Ability To Work Independently And In A Team Environment

  • Experience With Medical Terminology

  • Basic Knowledge Of Insurance And Regulatory Standards

  • Ability To Multi-Task And Manage Multiple Priorities

  • Proficiency In Ms Office

Required Skills
  • Documentation

  • Data Entry

  • Communication

  • Time Management

  • Attention to detail

  • Problem Solving

  • Auditing

  • customer service

  • Claims Processing

  • Compliance

  • Medical Terminology

  • Record keeping

  • Computer proficiency

  • Organization

  • Insurance Policies

Soft Skills
  • Communication

  • Leadership

  • Negotiation

  • Interpersonal Skills

  • flexibility

  • Critical thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

  • Time-Management

Compensation

According to JobzMall, the average salary range for a Claims Processor in Greer, SC, USA is between $27,941 and $38,906 per year. This includes base salary, bonuses, and other forms of compensation. The exact salary for a Claims Processor in Greer, SC will depend on factors such as experience, qualifications, and the specific employer.

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 BeforeMay 22nd, 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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