BlueCross BlueShield of South Carolina

SummaryThe Physician Advisor optimizes efficient management of resources ensuring patients are in the appropriate level of care supporting documentation coding improvements and compliance and monitoring the appropriate use of diagnostic and therapeutic modalities. Provides assessment

SummaryThe Physician Advisor optimizes efficient management of resources ensuring patients are in the appropriate level of care supporting documentation coding improvements and compliance and monitoring the appropriate use of diagnostic and therapeutic modalities. Provides assessment

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 BlueCros

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 BlueCros

SummaryOversees an area responsible for claims appeals and/or customer service to ensure departmental performance guarantees are met.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled d

SummaryOversees an area responsible for claims appeals and/or customer service to ensure departmental performance guarantees are met.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled d

SummaryProvides supervision of staff performing quality control activities for department or line business.DescriptionThis is a hands-on leadership role supervising a team of 12 that includes customer service coaches trainers and staff development specialists who support call centers

SummaryProvides supervision of staff performing quality control activities for department or line business.DescriptionThis is a hands-on leadership role supervising a team of 12 that includes customer service coaches trainers and staff development specialists who support call centers

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-tim

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-tim

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryResponsible for identifying training needs developing training materials and facilitating training. Provides training guidance and leadership for new training specialists. Develops performance assessments and testing materials. Manages trainees and communicates effectively with

SummaryResponsible for identifying training needs developing training materials and facilitating training. Provides training guidance and leadership for new training specialists. Develops performance assessments and testing materials. Manages trainees and communicates effectively with

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

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

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

SummaryPerforms routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information distributing mail screening scanning data element verification and document indexing. A

SummaryPerforms routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information distributing mail screening scanning data element verification and document indexing. A

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryAssists management in the planning coordination and assignment of work across staff. Trains new staff and assists staff with the proper processing methods. May screen code and key claims in claims system.DescriptionLocation:This position is full-time (40-hours/week) Monday-Frid

SummaryAssists management in the planning coordination and assignment of work across staff. Trains new staff and assists staff with the proper processing methods. May screen code and key claims in claims system.DescriptionLocation:This position is full-time (40-hours/week) Monday-Frid

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

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

SummaryThe ideal candidate will be passionate about people leadership with a strong ability to inspire and empower frontline staff. Key responsibilities include setting clear performance expectations providing regular feedback recognizing achievements and driving engagement through a

SummaryThe ideal candidate will be passionate about people leadership with a strong ability to inspire and empower frontline staff. Key responsibilities include setting clear performance expectations providing regular feedback recognizing achievements and driving engagement through a

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

SummaryResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.DescriptionLogistics: PGBA is a subsidiary company of BlueCross Blue

SummaryResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.DescriptionLogistics: PGBA is a subsidiary company of BlueCross Blue

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

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.DescriptionWhy

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.DescriptionWhy

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 providing oversight and guidance to the benefits and retirement staff. Handles escalated issues and provides accurate prompt response to management inquiries. Ensures accurate data entry maintenance and file transfer to vendors for all benefit programs. Assis

SummaryResponsible for providing oversight and guidance to the benefits and retirement staff. Handles escalated issues and provides accurate prompt response to management inquiries. Ensures accurate data entry maintenance and file transfer to vendors for all benefit programs. Assis