Specialist, Appeals
Description
Position Purpose: An Appeals Specialist performs non-medical reviews and processes redetermination letters.
Logistics: Palmetto GBA - one of BlueCross BlueShield's South Carolina subsidiary companies.
Government Clearance: This position requires CMS Security Clearance as it falls within a division subject to Centers for Medicare and Medicaid Services residency requirements.
SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA).
Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.
Qualifications
- Required Education: High School Diploma or equivalent
- Required Work Experience: 2 years job related field
Skills and Abilities
- Demonstrated proficiency in word processing and spreadsheet software
- Excellent organizational, customer service, and written and verbal communication skills
- Good judgment skills
- Proficiency in spelling, punctuation, and grammar skills
Preferred Qualifications
- Medicare Part B
Work Environment
Typical office environment.
What We Can Do For You
- Subsidized health plans, dental and vision coverage
- 401k retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Education Assistance
- National discounts to movies, theaters, zoos, theme parks and more
Equal Employment Opportunity Statement
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.