Southcarolinablues
# # # To learn more about our website privacy policy, click on this .**Location:** This position is full-time (40 hours/week) Monday-Friday from **8:00am-5:00pm.** This role is located on-site at 200 N Dozier Blvd., Florence, SC 29501.**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). **Under the McNamara-O'Hara Service Contract Act (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.*** 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.* **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**.*** **Required Software and Tools:** Basic office equipment.* **Preferred Work Experience:** 1 year-of experience in a healthcare or insurance environment.* **Preferred Skills and Abilities:** Ability to use complex mathematical calculations.* **Preferred Software and Other Tools:** Proficient in word processing and spreadsheet applications. Proficient in database software**.*** 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* Service Recognition* National discounts to movies, theaters, zoos, theme parks and more
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