New

Claims Clerk I

BlueCross BlueShield of South Carolina
United States, South Carolina, Columbia
Feb 24, 2025
Summary In this position you will screen, code, and key claims in the claims' system. You are also responsible for ensuring claims are processed in a timely manner. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy, consider joining our team! Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future. Description Logistics: This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have the flexibility to work 8:00 AM - 4:30 PM. What You'll Do: Screen, code, and key claims to ensure proper and accurate adjudication of claims in accordance with departmental standards for quality, production, contract regulations, policy, and guidelines. Correct keying errors as noted by system edits. Accurately use medical review forms and all available reference materials. To Qualify for This Position, You'll Need: High School Diploma or equivalent Strong organizational and analytical skills. Strong verbal and written communication skills. Ability to handle confidential or sensitive information with discretion. Ability to use standard office equipment. What We Prefer: Intermediate in word processing, spreadsheet application, and database software. Experience with Medicare, Medicaid, CMS or UB04 claims. Type 35 wpm or better. Proficient in Microsoft Office Products. 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 a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Here's more information. 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 minorities, females, disabled individuals and 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 physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, 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.