BlueCross BlueShield of South Carolina

SummaryCreates and analyzes reports to support operations. Ensures correctness of analysis and reports findings in a concise manner to senior management. Directly responsible for accuracy of data as financial and operational decisions are made based on the data provided.DescriptionW

SummaryCreates and analyzes reports to support operations. Ensures correctness of analysis and reports findings in a concise manner to senior management. Directly responsible for accuracy of data as financial and operational decisions are made based on the data provided.DescriptionW

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c

SummaryFunctions as work leader for a claims customer service unit responsible for resolving customer inquiries and performing initial claims adjudication or non-medical appeals review. Assists with escalated and complex issues.DescriptionLogistics: Planned Administrators Inc. (PAI)

SummaryFunctions as work leader for a claims customer service unit responsible for resolving customer inquiries and performing initial claims adjudication or non-medical appeals review. Assists with escalated and complex issues.DescriptionLogistics: Planned Administrators Inc. (PAI)

SummaryProvides professional administrative support for a department. Functions include: typing verification of accuracy copying faxing updating records filing ordering supplies preparing travel arrangements coordinating special projects creating complex spreadsheets and handling rout

SummaryProvides professional administrative support for a department. Functions include: typing verification of accuracy copying faxing updating records filing ordering supplies preparing travel arrangements coordinating special projects creating complex spreadsheets and handling rout

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummarySupervises provider enrollment and quality assurance staff. Ensures providers are loaded accurately/timely into system appropriately assigned to networks and updated correctly when necessary. Manages activities related to the provider file including file maintenance quality a

SummarySupervises provider enrollment and quality assurance staff. Ensures providers are loaded accurately/timely into system appropriately assigned to networks and updated correctly when necessary. Manages activities related to the provider file including file maintenance quality a

SummaryProvides professional administrative support for a department. Functions include: typing verification of accuracy copying faxing updating records filing ordering supplies preparing travel arrangements coordinating special projects creating complex spreadsheets and handling rout

SummaryProvides professional administrative support for a department. Functions include: typing verification of accuracy copying faxing updating records filing ordering supplies preparing travel arrangements coordinating special projects creating complex spreadsheets and handling rout

SummaryThe Physician Advisor optimizes efficient management of resources ensuring patients are in the appropriate level of care supporting documentation coding improvements and compliance and monitoring the appropriate use of diagnostic and therapeutic modalities. Provides assessment

SummaryThe Physician Advisor optimizes efficient management of resources ensuring patients are in the appropriate level of care supporting documentation coding improvements and compliance and monitoring the appropriate use of diagnostic and therapeutic modalities. Provides assessment

SummaryResponsible for the maintenance of all provider files through assignment and enrollment on specified provider systems/databases. Responsible for running various queries for reporting on corporate division and department levels.DescriptionLogistics: Palmetto GBA one of BlueCros

SummaryResponsible for the maintenance of all provider files through assignment and enrollment on specified provider systems/databases. Responsible for running various queries for reporting on corporate division and department levels.DescriptionLogistics: Palmetto GBA one of BlueCros

SummaryOversees an area responsible for claims appeals and/or customer service to ensure departmental performance guarantees are met.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled d

SummaryOversees an area responsible for claims appeals and/or customer service to ensure departmental performance guarantees are met.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled d

SummaryProvides supervision of staff performing quality control activities for department or line business.DescriptionThis is a hands-on leadership role supervising a team of 12 that includes customer service coaches trainers and staff development specialists who support call centers

SummaryProvides supervision of staff performing quality control activities for department or line business.DescriptionThis is a hands-on leadership role supervising a team of 12 that includes customer service coaches trainers and staff development specialists who support call centers

SummaryProvides 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 needed to resolve inquiries.DescriptionLocation: This position is full-tim

SummaryProvides 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 needed to resolve inquiries.DescriptionLocation: This position is full-tim

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryResponsible for identifying training needs developing training materials and facilitating training. Provides training guidance and leadership for new training specialists. Develops performance assessments and testing materials. Manages trainees and communicates effectively with

SummaryResponsible for identifying training needs developing training materials and facilitating training. Provides training guidance and leadership for new training specialists. Develops performance assessments and testing materials. Manages trainees and communicates effectively with

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c

SummaryPalmetto GBA is one of the nations largest providers of high-volume claims and transaction processing contact center operations and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries

SummaryPalmetto GBA is one of the nations largest providers of high-volume claims and transaction processing contact center operations and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries

SummaryPerforms routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information distributing mail screening scanning data element verification and document indexing. A

SummaryPerforms routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information distributing mail screening scanning data element verification and document indexing. A

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryAssists management in the planning coordination and assignment of work across staff. Trains new staff and assists staff with the proper processing methods. May screen code and key claims in claims system.DescriptionLocation:This position is full-time (40-hours/week) Monday-Frid

SummaryAssists management in the planning coordination and assignment of work across staff. Trains new staff and assists staff with the proper processing methods. May screen code and key claims in claims system.DescriptionLocation:This position is full-time (40-hours/week) Monday-Frid

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance c