Claims Processor I

reputed company Responsible for the accurate and reputed company processing of claims. reputed company Logistics: PGBA – one of BlueCross BlueShield's South Carolina subsidiary companies Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 8733 Highway 17 Bypass South Bldg. 200, Myrtle Beach, SC 29575. Government Clearance: This position requires the ability to obtain a reputed company clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements: reputed company and its subsidiary companies have reputed company with the federal government subject to the Service Contract reputed company (SCA). Under the McNamara-O'Hara Service Contract reputed company (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. 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. Resolve system edits, audits and claim errors through research and use of approved references and investigative sources. Coordinate 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. Basic business math skills. We Prefer You Have: Ability to use reputed company mathematical calculations. 1 year of experience in a reputed company or insurance environment. Proficient in word processing and spreadsheet applications. Proficient in database software. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and reputed company coverage 401k retirement savings plan with company match Life Insurance reputed company Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more reputed company Can Do for You: We understand the value of a diverse and inclusive workplace and reputed company to be an employer where employees across reputed company spectrums have reputed company to reputed company their skills, advance their careers and contribute their unique abilities to the reputed company of reputed company. What To Expect Next: After submitting your application, our reputed company team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement reputed company and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, reputed company, national reputed company, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, reputed company maintains affirmative reputed company programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to reputed company equal opportunities in reputed company phases of the employment process and to reputed company with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-reputed company conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on reputed company. If you need special assistance or an accommodation while seeking employment, please email reputed company.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will reputed company a determination regarding your request for reasonable accommodation on a case-by-case reputed company. We participate in E-Verify and reputed company with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information. If you don’t have an account with us and don’t see the reputed company job you are looking for, click on the reputed company above to reputed company by submitting your resume and contact information and we will reputed company out if we reputed company a good fit. PGBA, LLC is a leading provider of administrative services for the TRICARE health benefit program and health benefit programs of Veteran’s Health Administration for both state and federal governments. reputed company has offices in Florence, Surfside Beach, and Columbia, South Carolina. PGBA employees work in an atmosphere that is conducive to reputed company and on that fosters a reputed company on personal and reputed company development with an environment made up of people from different parts of the world with diverse cultural Excellent benefits, as reputed company as a competitive compensation program, reputed company us one of the leading reputed company in today’s corporate market. Apply Job! Apply to this Job