Technical Information Specialist

About the role

This detail‑oriented, clerical support position serves the medical review team at Palmetto GBA, a subsidiary of BlueCross BlueShield of South Carolina. The role involves maintaining records, processing claims, handling mail, and preparing work for nursing staff. It is an onsite position available at Palmetto GBA locations in Florence, SC; Columbia, SC; and Augusta, GA.

Responsibilities

• Maintain records and process claims in medical review
• Process incoming and outgoing mail and prepare work for nursing staff
• Troubleshoot claims prior to and after nurse review
• Monitor timeliness of claims processing and adjust claims keyed incorrectly
• Perform quality control of work processes
• Process denials of claims
• Process adjustment claims for pre‑pay and post‑pay departments
• Investigate and analyze adjustment claim history and denial records
• Prescreen records for review and maintain accurate records of all claims
• Communicate with the provider community and assist the provider service department in responding to inquiries
• Generate educational correspondence to providers regarding denials
• Assist manager with special projects

Requirements

• Associate’s degree equivalency: 2 years of job‑related work experience
• 1 year of administrative/clerical support experience

Skills

• Working knowledge of word processing software (Microsoft Office)
• Strong analytical, organizational, and customer service skills
• Strong verbal and written communication skills
• Proficiency in spelling, punctuation, and grammar
• Good judgment
• Ability to handle confidential or sensitive information with discretion
• Preferred: FISS experience, Medicare experience, claims knowledge

Benefits

• 401(k) retirement savings plan with company match
• Subsidized health plans and free vision coverage
• Life insurance
• Paid annual leave – accrual increases with tenure
• Nine paid holidays
• On‑site cafeterias and fitness centers at major locations
• Wellness programs and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Incentive plan
• Merit plan
• Continuing education funds for additional certifications and renewal
• Supplemental pay until health benefits enrollment (28 days after hire)

Schedule

Full‑time, 40 hours per week, Monday‑Friday 8:00 AM‑4:30 PM (onsite).