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Claims Processor
<p>At BlueCross BlueShield of South Carolina, we are looking for a Claims Processor to join our Claims Department. The ideal candidate will be responsible for processing medical, vision, and dental claims to ensure timely and accurate payments. The successful candidate will have a keen eye for detail, strong organizational skills, and the ability to handle a fast-paced environment.The ideal candidate for this position will possess: • At least one year of experience in claims processing or related field • Knowledge of medical terminology and coding • Excellent communication and customer service skills • Ability to work independently and as part of a team • Proficiency in Microsoft Office Suite • A commitment to accuracy and detail If you have the qualifications and are eager to join our team, then we invite you to apply for this exciting opportunity. We look forward to hearing from you! Responsibilities: Process medical, vision, and dental claims in a timely and accurate manner. Ensure accuracy of data entry, coding, and payment information. Investigate and resolve discrepancies within claim processing. Maintain accurate records and documentations of claims processing. Monitor claims processing systems for accuracy and efficiency. Respond to inquiries from customers or other departments about claims processing. Follow-up with customers or third-parties to ensure resolution of claims. Develop and implement strategies for improving claims processing. Ensure compliance with applicable laws and regulations. Provide customer service assistance to patients, providers, and other stakeholders.</p><p>BlueCross BlueShield of South Carolina is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.</p>
