Palmetto GBA

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...

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 More...

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 More...

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 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...

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...

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...

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...

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...

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 More...

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 More...

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 More...

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 More...

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 More...

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 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...

SummaryThis position completes research efficiently and accurately to ensure the departmental goals to prevent aging of claims and erroneous disbursements or claims from processing incorrectly. This position also assists in any special projects that may arise.DescriptionLogistics: Thi More...

SummaryResearches and resolves escalated complex and high profile claims issues. Serves as POC (point of contact) with various professional and facility/hospital providers in the research and resolution of all claims issues. May assist with escalated issues to include but not limited 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...

SummaryPerforms independent objective information systems (IS) audits and consulting services. Supplies management at all levels with objective evaluations appraisals and recommendations concerning the areas reviewed.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields So More...