BlueCross and BlueShield of South Carolina

SummaryWe are currently hiring for a Medical Reviewer I to join BlueCross BlueShield of South Carolina. In this role as a Medical Reviewer I you will perform medical reviews using established criteria sets and/or performs utilization management of professional inpatient or outpatient More...

SummaryResponsible for daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments terminations/cancellations changes renewals database updates and/or monthly billings.DescriptionLogistics: This is a full-time (4 More...

SummaryResponsible 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. Determines whether to return deny or pay claims following organizatio More...

SummaryDepending on department needs this job includes the following: cashier prep cook food server dishwasher/pot washer catering delivery restocking as needed and any other need as asked by management.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a More...

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 More...

SummaryWe are currently hiring for a Part-Time Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate II you will be responsible for helping our customers in a timely prompt and accurate way to answer some More...

SummaryPosition Purpose: Responsible for conducting research to detect and investigate suspected instances of fraudulent or abusive activities against the corporation.DescriptionLogistics:This position is HYBRID (2 days in office/3 days remote subject to change) at our 51 Clemson Road More...

SummaryResponsible for the engineering of network infrastructure. Designs infrastructures including hardware software and various configurations. Ensures that the design and integration of proposed solutions leads to the development and growth of the business through effective use of More...

SummaryResponsible for effective and efficient recruitment activities. Maintains active requisition load for high volume repetitive jobs campus recruiting internships and/or entry-level professional roles. Fills open positions while remaining compliant with corporate policies and pro More...

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 More...

SummaryWe are currently hiring for a Corporate Appeals Manager to join BlueCross BlueShield of South Carolina. In this role as a Corporate Appeals Manager you will oversee appeals process/case review process and staff ensuring all documentation timeliness and quality standards are met More...

SummaryWe are currently hiring for a Part-Time Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate II you will be responsible for helping our customers in a timely prompt and accurate way to answer some More...

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-time More...

SummaryFunctions as work leader for customer service units. Assists with escalated and complex issues.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 4101 Percival Road Columbia SC 29229.Wha More...

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 More...

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 More...

SummaryResponsible for the accurate and timely processing of claims.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 300 North Dozier Blvd. Florence SC 29501.What Youll Do:Research and proces More...

SummaryServes as an advisor and liaison between Human Resources area management and employees.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is onsite at 51 Clemson Rd. Columbia SC.Position Purpose: Acts as an More...

SummaryProcess mail by priority based on contractual mail date and finalize mailings for United States Postal Service (USPS) acceptance. Input sort schemes to the sorter system to obtain the best possible postage rates allowed. **Sorter operators follow strict guidelines to enforce a More...

SummaryAccountable for the management of training activities including the training of senior management. Manage select develop and oversee curriculum development staff development and data analysis to ensure organizational training needs are met.DescriptionLogistics: PGBA one of B More...