Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description Position Purpose:This role is responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Logistics: This position is full-time (40 hours/week) Monday Friday in a typical office environment. The work hours for this position will be between 7:00 AM EST and 3:30 PM EST. This role is located at 1000 Executive Center Drive in Greenville, SC. What You'll Do:Responds to written and/or telephone inquiries according to desk procedures, ...Customer Service, Claims, Advocate, Processing, Service, Retail, Healthcare, Medical
BlueCross BlueShield of South Carolina
06/25/2024
Greenville,SC