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Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as…
Summary We are currently hiring a Case Management Supervisor to join BlueCross BlueShield of South Carolina. In this role as a Case Management Supervisor, you will be responsible for the supervision and maintenance of…
Analyzes and maintains mainframe storage technologies, including hardware/software lifecycle management, vendor coordination, and best-practice implementation for healthcare/data-center infrastructure.
Summary This position completes research efficiently and accurately to ensure the departmental goals to prevent aging of claims and erroneous disbursements or claims from processing incorrectly. This position also…
Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as an RN Appeals Analyst, you will research the substance of complex appeal or retrospective review…
Summary Responsible for organizing the audit block into productive units or teams and directing the activities of the teams to meet the expectations of the department, the corporation, and the Centers for Medicare and…
Summary Manages the daily activities of a multi-functional area. Responsible for monitoring productivity, attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental
Summary Description
Summary We are currently hiring for a part-time Customer Service Phone Advocate I to join BlueCross BlueShield of South Carolina. You will be responsible for providing prompt, accurate, thorough and courteous responses…
Summary Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and…
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly…
Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing
Summary Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals.…
Summary Oversees the day-to-day underwriting operations including budget and staff planning as well as direct supervision of personnel to successfully accomplish company underwriting objectives and compliance.…
Summary We have a job opening for the position of Accounting/Audit Business Unit Student at Palmetto GBA, a subsidiary of BlueCross BlueShield of South Carolina. Responsibilities may vary based on departmental needs…
Summary Serves as the day to day lead in the client issues, service resolution of assigned accounts. Works with management and internal stakeholders on client specific or departmental
Summary Provides prompt, accurate, thorough and courteous responses to all telephone inquiries. Performs research as needed to resolve
Summary Coordinates and performs testing for major system enhancements, including reviewing documents for testing, creating test matrices and executing test cases. Functions as a liaison between the operations areas…
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