Palmetto GBA

SummaryManages the successful operations of a department that is responsible for administering part of a Medicare service contract. Oversees all appeals and rebuttals activities and requirements outlined in the National Provider Enrollment (NPE) Statement of Work and applicable sectio

SummaryManages the successful operations of a department that is responsible for administering part of a Medicare service contract. Oversees all appeals and rebuttals activities and requirements outlined in the National Provider Enrollment (NPE) Statement of Work and applicable sectio

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance

SummaryResponsible for supervising the receipt review and settlement of the Medicare cost report ensuring all Centers for Medicare and Medicaid Services (CMS) requirements are met throughout the process.DescriptionThis position is a full-time remote position working Monday-Friday with

SummaryResponsible for supervising the receipt review and settlement of the Medicare cost report ensuring all Centers for Medicare and Medicaid Services (CMS) requirements are met throughout the process.DescriptionThis position is a full-time remote position working Monday-Friday with

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

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

SummaryGather and analyze data and information contained within articles information systems and other databases for evidence-based information related to health policies. Apply research findings to implement solutions that resolve complex issues. Present research findings to Medical

SummaryGather and analyze data and information contained within articles information systems and other databases for evidence-based information related to health policies. Apply research findings to implement solutions that resolve complex issues. Present research findings to Medical

SummaryResponsible for coordinating and directing the efforts of the Document Control associates to ensure the timely and accurate processing and general control of documents. Distributes work and determines work priorities for the staff. Performs quality audits and helps evaluate the

SummaryResponsible for coordinating and directing the efforts of the Document Control associates to ensure the timely and accurate processing and general control of documents. Distributes work and determines work priorities for the staff. Performs quality audits and helps evaluate the

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThis is a full-time positing working Monday through Friday from Colu

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThis is a full-time positing working Monday through Friday from Colu

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

SummaryWe 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 and the interns experience. Working under direct supervision the intern

SummaryWe 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 and the interns experience. Working under direct supervision the intern

SummaryWe have a job opening for the position of Business Process & Technology Intern who will work directly with our Audit & Reimbursement team at PGBA a subsidiary of BlueCross BlueShield of South Carolina. The intern will work under direct supervision and gain exposure to professio

SummaryWe have a job opening for the position of Business Process & Technology Intern who will work directly with our Audit & Reimbursement team at PGBA a subsidiary of BlueCross BlueShield of South Carolina. The intern will work under direct supervision and gain exposure to professio

SummaryResponsible for assisting in the execution of financial compliance and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans policies and procedures prescribed by management. Reviews assi

SummaryResponsible for assisting in the execution of financial compliance and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans policies and procedures prescribed by management. Reviews assi

SummaryEnsures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates implements and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate. The error rate

SummaryEnsures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates implements and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate. The error rate

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThis is a full positing working Monday - Friday. This will be a full

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThis is a full positing working Monday - Friday. This will be a full

SummaryResponsible for assisting management with Palmetto GBA and some Celerian Group organizational projects. Focus on meeting project commitments including communication with stakeholders and senior leadership. Support management in the administration of projects that involve busi

SummaryResponsible for assisting management with Palmetto GBA and some Celerian Group organizational projects. Focus on meeting project commitments including communication with stakeholders and senior leadership. Support management in the administration of projects that involve busi

SummaryResponsible for assisting management with Palmetto GBA and some Celerian Group organizational projects. Focus on meeting project commitments including communication with stakeholders and senior leadership. Support management in the administration of projects that involve busi

SummaryResponsible for assisting management with Palmetto GBA and some Celerian Group organizational projects. Focus on meeting project commitments including communication with stakeholders and senior leadership. Support management in the administration of projects that involve busi

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but w

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but w

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

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

SummaryELTP is a technical training program in Columbia SC in which participants are in an initial 4 to 5-month paid classroom training. After successful completion of the program you will join one of our technology areas related to your field of study where you will continue to grow

SummaryELTP is a technical training program in Columbia SC in which participants are in an initial 4 to 5-month paid classroom training. After successful completion of the program you will join one of our technology areas related to your field of study where you will continue to grow

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

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

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance