Coordinator, Appeals

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profile Job Location:

Columbia, IN - USA

profile Monthly Salary: Not Disclosed
Posted on: Yesterday
Vacancies: 1 Vacancy

Job Summary


Summary

Responsible for maintaining the proper flow of the request for appeals.


Description

Logistics:Palmetto GBA-one of BlueCross BlueShields South Carolina subsidiary companies.

Work Setting: Onsite at 200 Dozier Blvd Florence SC 29501 OR 17 Technology Circle Columbia SC 29203

Working Hours: 8:00 AM 4:30 PM (flexible after training)

What youll do:

  • Research requests enter appropriate data to identify case specifics and builds appeals cases on the system.

  • Logs requests to appropriate functional area generates letters assembles files orders records and obtains additional information as directed.

  • Ensure quality control of all appeals on the appeals system pend documents to be saved electronically and prepares case files for review and/or further routing.

To Qualify for this Position youll need:

  • High School Diploma or equivalent

  • One year of administrative support/clerical or job-related experience.

  • Proficient in word processing and spreadsheet software: Microsoft Office

  • Organizational and customer service skills.

  • Good judgment skills.

  • Proficient in spelling punctuation grammar written and verbal communication skills.

We Prefer That You Have:

  • Skilled in using Excel.

  • Medical claims processing appeals insurance or healthcare experience.

  • Medicare experience

What We Can Do For You:

Our comprehensive benefits package includes:

  • 401(k) retirement savings plan with company match

  • Subsidized health plans and free vision coverage

  • Life insurance

  • Paid annual leave the longer you work here the more you earn

  • Nine paid holidays

  • Wellness programs and a healthy lifestyle premium discount

  • Tuition assistance

  • Service recognition

  • Realistic career advancement opportunities

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age race color national origin sex religion veteran status disability weight sexual orientation gender identity genetic information or any other legally protected status. Additionally as a federal contractor the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities pregnant individuals individuals with pregnancy-related conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment please email or call ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation.

Some states have required notifications. Heres more information.


Required Experience:

IC

SummaryResponsible for maintaining the proper flow of the request for appeals.DescriptionLogistics:Palmetto GBA-one of BlueCross BlueShields South Carolina subsidiary companies.Work Setting: Onsite at 200 Dozier Blvd Florence SC 29501 OR 17 Technology Circle Columbia SC 29203Working Hours: 8:00 AM ...
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About Company

You can’t reach new heights of performance unless you’re willing to invest in others. That people-first mantra has been our guiding light since we started in the Medicare business in 1965. Headquartered in Columbia, S.C., and with offices in Augusta, Ga.; Birmingham, Ala.; Camden, S.C ... View more

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