BlueCross and BlueShield of South Carolina

SummaryWe are currently hiring for a Stop Loss Accounting Analyst to join BlueCross BlueShield of South Carolina. In this role as Stop Loss Accounting Analyst you will be responsible for submitting stop loss claim packets and responding to any requests for additional information. Addi More...

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics:This is a fulltime 40 HOPW) position.Our ideal candidate will be required to work in our Florence SC location.What You Will Do:Research and process claims according to business regulation internal More...

SummaryPerforms advanced 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 utilize More...

SummaryPerforms quality control audits to evaluate accuracy and effectiveness of departmental operations functions including but not limited to claims membership customer service/call center workflow processing support systems procedures documentation etc. Identifies problems analyze More...

SummaryScreen code and key claims in claims system. Ensure claims are processed in a timely manner.DescriptionLogistics:This is a fulltime position 40 HOW). This position will require our ideal candidate to work onsite.What You Will Do:Screen code and key claims to ensure proper and More...

SummaryOutside Sales Representative responsible for selling Health Insurance products in South Carolina. Responsible for new sales renewal of existing members and providing service as needed. Product Portfolio for group and individual consumers include ACA Plans and Medicare for eligi More...

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 More...

SummaryProvide prompt accurate thorough and courteous responses to all customer inquiries. Inquires may be nonroutine and require deviation from standard screens scripts and procedures. Perform research as needed to resolve inquiries.DescriptionLocationThis position is full time 40 ho More...

SummaryEstablishes and maintains provider networks for assigned lines of business. Serves as main contact for all recruiting or recontracting efforts and all contract questions or issues that arise with providers. Recommends and implements costeffective strategies while delivering hig More...

SummaryResponsible for the supervision of the duties of payroll staff payroll procedural changes verification accuracy and timeliness of payroll data and problem resolution in assigned area.DescriptionLocation:This is a fulltime position working 40hours/week) MondayFriday working onsi More...

SummaryDirects and coordinates all components for the development of new business to include working across various functional areas (underwriting marketing claims information systems operations etc.. Evaluates marketing strategies/plans to meet ever changing market and competitive c More...

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 More...

SummaryResponsible for operating high speed file based integrity production mail inserters and other print/mailing equipment to meet the companys required contractual obligations related to mailing firstclass correspondence statements checks etc. **Mail procedures require the adherenc More...

SummaryProvides prompt accurate thorough and courteous responses to all complex customer inquiries. Inquiries are typically nonroutine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This positio 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 RN Quality Improvement Policy Coordinator to join BlueCross BlueShield of South Carolina. This individual will perform vendor audits and oversight. They will provide reporting to the vendors Governance Committee the executive team and other stakeh More...

SummaryProvides prompt accurate thorough and courteous responses to all complex customer inquiries. Inquiries are typically nonroutine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation:This positi More...

SummaryResponsible for leading Medicare Advantage Analytics team initiatives and project oversight including coordinating work efforts among the team and internal departments. Leads the daytoday operations and responsible for reporting key metrics to management on a regular basis. Pro 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...

SummaryUnder direct supervision performs quality control audits reviews or monitoring of departmental operations functions including but not limited to claims membership customer service/call center workflow processing support systems procedures documentation etc. Identifies problems More...