PGBA

SummaryResponsible for directing all contract activities to ensure that contractual obligations are met and compliance is maintained with mandatory government regulations applicable laws and Corporate policies/ addition this position is responsible for interacting with contracting par

SummaryResponsible for directing all contract activities to ensure that contractual obligations are met and compliance is maintained with mandatory government regulations applicable laws and Corporate policies/ addition this position is responsible for interacting with contracting par

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carolina subsidiary companiesLocation: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. It may be nec

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carolina subsidiary companiesLocation: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. It may be nec

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.DescriptionJob DescriptionPosition Purpose:From the moment of login y

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.DescriptionJob DescriptionPosition Purpose:From the moment of login y

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 one of BlueCross BlueShields South Caroli

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 one of BlueCross BlueShields South Caroli

SummaryResponsible for the accurate and timely processing of claims.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role is located on-site at 8733 Highway 17 Bypass Myrtle Beach SCWhat Youll Do: Research

SummaryResponsible for the accurate and timely processing of claims.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role is located on-site at 8733 Highway 17 Bypass Myrtle Beach SCWhat Youll Do: Research

SummaryJob Description SummaryWe are currently hiring for a Part-Time Claims Customer Service Advocate II to join BlueCross BlueShield of South 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

SummaryJob Description SummaryWe are currently hiring for a Part-Time Claims Customer Service Advocate II to join BlueCross BlueShield of South 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

SummaryWe have a job opening for the position of Business Management Summer Student Intern at PGBA a subsidiary of BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active high school or college student towards an entry level role. The responsibi

SummaryWe have a job opening for the position of Business Management Summer Student Intern at PGBA a subsidiary of BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active high school or college student towards an entry level role. The responsibi

SummaryReviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise administrative policies and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess p

SummaryReviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise administrative policies and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess p

SummaryWe are currently hiring for a Claims Customer Service Advocate I to join BlueCross BlueShield of South Carolina. You will be responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Revi

SummaryWe are currently hiring for a Claims Customer Service Advocate I to join BlueCross BlueShield of South Carolina. You will be responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Revi

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 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 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

SummaryManages the daily activities of a multi-functional area. Responsible for monitoring productivity attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals.DescriptionLogistics: PGBA one of BlueCross BlueShields Sout

SummaryManages the daily activities of a multi-functional area. Responsible for monitoring productivity attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals.DescriptionLogistics: PGBA one of BlueCross BlueShields Sout

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA - one of BlueCross BlueShields South Carolina subsidiary companiesLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA - one of BlueCross BlueShields South Carolina subsidiary companiesLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour

SummaryManages the daily activities of a multi-functional area. Responsible for monitoring productivity attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals.DescriptionLogistics: PGBA one of BlueCross BlueShields Sout

SummaryManages the daily activities of a multi-functional area. Responsible for monitoring productivity attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals.DescriptionLogistics: PGBA one of BlueCross BlueShields Sout

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

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.DescriptionPosition PurposeReviews and adjudicates complex or specialty cl

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.DescriptionPosition PurposeReviews and adjudicates complex or specialty cl