Claims Processing 1-26 - BlueCross BlueShield of South Carolina : Job Details

Responsible for the accurate and timely processing of claims. Description Logistics:This is a full time (40 HPW) position, and our ideal candidate will work on-site at our Florence, SC location. What You'll Do:Research and process claims according to business regulation, internal standards and processing guidelines. Verify 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....Processing, Claims, Skills, Healthcare, Process