Palmetto GBA

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 BlueCross المزيد...

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 المزيد...

SummaryPerforms varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information and distributing mail. Applies knowledge of department policies and procedures and utilizes a gener المزيد...

SummaryWe have a job opening for the position of Government Audit - Business Student Unit (Year-Round Intern) at Palmetto GBA a subsidiary of BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active high school or college student towards an entry المزيد...

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.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina su المزيد...

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an المزيد...

SummaryProvides education to medical providers as warranted.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time Remote (40-hours/week) Monday-Friday in South Carolina. You will work an 8-hour shift sc المزيد...

SummaryPerforms assigned document control functions on a routine basis or as needed. Functions include: preparation of documents for imaging; ensuring documents are sorted; notifies scanner operator of special instructions; boxing storage and workflow movement for an area; scans/ima المزيد...

SummaryPerforms assigned document control functions on a routine basis or as needed. Functions include: preparation of documents for imaging; ensuring documents are sorted; notifies scanner operator of special instructions; boxing storage and workflow movement for an area; scans/ima المزيد...

SummaryPerforms routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information and distributing mail. Applies knowledge of department policies and procedures and util المزيد...

SummaryAssists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. Learns to conduct business process analyses needs assessments and cost/benefits analyses for aligning operations solutions with المزيد...

SummaryDevelops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Identifies opportunities for improvement that can be addressed with educational initiatives.DescriptionPos المزيد...

SummaryPalmetto GBA is one of the nations largest providers of highvolume 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 المزيد...

SummaryPalmetto GBA is one of the nations largest providers of highvolume 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 المزيد...

SummaryActs as a Team Lead by providing guidance/direction/training to Provider Enrollment Analysts and/or other Provider Enrollment area staff. Responsible for the processing of difficult enrollment applications and/or complex inquiries.DescriptionLogistics: Palmetto GBA one of Blu المزيد...

SummaryResponsible for responding to customer inquiries. Inquiries may be nonroutine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or nonmedical appeals. Determines whether t المزيد...

SummaryResponsible for maintaining the proper flow of the request for appeals.DescriptionLocationThis position is onsite full time (40 hours/week) MondayFriday 8am5pm.What You Will Do:Researches requests enters appropriate data to identify case specifics and builds appeals cases on th المزيد...

SummaryResponsible for the accountability and supervision of different aspects of accounting functions for different lines of business. This involves approving journal entries analyzing balances account payables expense tracking researching data and assisting to identify variances. In المزيد...

SummaryProvides education to medical providers as warranted.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is fulltime (40hours/week) MondayFriday in a typical office environment. You will work an 8hour shift المزيد...

SummaryPrepares and revises automated cost report data files to incorporate audit adjustments and to ensure that cost reports meet all requirements for acceptance. Processes original filing and settlement cost reports.DescriptionWhy should you join the BlueCross BlueShield of South Ca المزيد...