Palmetto GBA

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...

SummaryResponsible for the maintenance of records and the processing of claims in medical review along with any and/or all of the following: processes ingoing/outgoing mail and prepares work for nursing staff. Troubleshoots claims prior to nurse review and after review. Monitors ti المزيد...

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 المزيد...

SummaryWhy 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 insurance c المزيد...

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquires may be nonroutine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation:This is a fulltime 40hrs/we المزيد...

SummaryInterprets all directives and policies to establish processing guidelines for area of expertise. Works with the systems department to create edits/audits and other related changes for the claims system. Maintains and monitors existing edits/audits and requests all maintenance f المزيد...

SummaryUnder general supervision analyzes proposed policies procedures forms and reports. Recommends operational improvement through standardization simplification discontinuance and other methods. Recommends installations of new systems/procedures. Reviews organizational functions an المزيد...

SummaryWhy 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 insurance c المزيد...

SummaryWhy 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 insurance c المزيد...

SummaryWhy 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 insurance c المزيد...

SummaryWhy 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 insurance c المزيد...

SummaryWhy 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 insurance c المزيد...

SummaryManage a team of analysts in the accurate and timely retrieval compilation and distribution of data reports and/or dashboards routinely used by internal departments and customers to make critical business decisions. Analysis may include medical costs and trending for senior man المزيد...

SummaryPosition Purpose:Identifies researches and investigates providers for aberrant and abusive billing practices against the company and its subsidiaries. Analyzes hospital accounting records and credit reports for overpayments and fraudulent billing to the corporation.DescriptionL المزيد...

SummaryResponsible for overseeing an area responsible for the timely and comprehensive investigation and processing of assigned claims.DescriptionLogistics:This is a fulltime position 40 HOW).The ideal candidate will be required to work in either our Columbia SC or our Birmingham Alab المزيد...

SummaryLead organize and develop staff in administration of government program functions. Ensure performance and budgetary compliance per the Center for Medicare and Medicaid Service (CMS) guidelines. Interacting regularly with liaisons from federal and/or state agencies.DescriptionLo المزيد...

SummaryWe are currently hiring for a Customer Service Advocate III to join BlueCross BlueShield of South Carolina. You will be responsible for providing prompt accurate thorough and courteous responses to all complex customer inquiries. Inquiries are typically nonroutine and require المزيد...

SummaryUnder general supervision performs a variety of routine to 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 with stand المزيد...