Claims Processor I-32
BlueCross BlueShield of South Carolina · Florence, SC · 2 wk ago
OTHRFull-time
About the role
Responsible for the accurate and timely processing of claims. PGBA – one of BlueCross BlueShield's South Carolina subsidiary companies.
Responsibilities
- 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.
Requirements
Education: High School Diploma or equivalent.
Required Skills and Abilities:
- Strong analytical, organizational and customer service skills.
- Strong oral and written communication skills.
- Pro