BlueCross BlueShield of South Carolina

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.Why should you join the BlueCross BlueShield of South

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.Why should you join the BlueCross BlueShield of South

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.Why should you join the BlueCross BlueShield of South

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.Why should you join the BlueCross BlueShield of South

SummaryWe are currently hiring for an RN Concierge Care Manager Case Management to join BlueCross BlueShield of South this role as an RN Concierge Care Manager Case Management you will provide care management services to more than 2 million members in South Carolina and nationally

SummaryWe are currently hiring for an RN Concierge Care Manager Case Management to join BlueCross BlueShield of South this role as an RN Concierge Care Manager Case Management you will provide care management services to more than 2 million members in South Carolina and nationally

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

SummaryAnalyzes current operational functions and offers and implements improvements. Maintains databases and extracts data for analysis. Runs and reviews reports analyzing results in support of operational functions.DescriptionWhy should you join the BlueCross BlueShield of South Car

SummaryAnalyzes current operational functions and offers and implements improvements. Maintains databases and extracts data for analysis. Runs and reviews reports analyzing results in support of operational functions.DescriptionWhy should you join the BlueCross BlueShield of South Car

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 daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments terminations/cancellations changes renewals and database updates.DescriptionLogistics: This is a full-time (40-hours/week) positi

SummaryResponsible for daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments terminations/cancellations changes renewals and database updates.DescriptionLogistics: This is a full-time (40-hours/week) positi

SummaryCoordinates with relevant areas to ensure customers (agents group administrators members etc.) receive outstanding customer service and to ultimately retain customer base. Addresses issues as they are identified. Resolves and communicates results concerns and/or problems to man

SummaryCoordinates with relevant areas to ensure customers (agents group administrators members etc.) receive outstanding customer service and to ultimately retain customer base. Addresses issues as they are identified. Resolves and communicates results concerns and/or problems to man

SummaryResponsible for supporting and maintaining the coordination of daily operations of assigned area. Interfaces with the medical management on a regular basis to work more complex UR cases for the outpatient UR function.DescriptionNational Allianceone of BlueCross BlueShields Sou

SummaryResponsible for supporting and maintaining the coordination of daily operations of assigned area. Interfaces with the medical management on a regular basis to work more complex UR cases for the outpatient UR function.DescriptionNational Allianceone of BlueCross BlueShields Sou

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

SummaryWe have a job opening for the position of Accountant Business Unit Student Unit (Year-Round) at Palmetto GBA 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

SummaryWe have a job opening for the position of Accountant Business Unit Student Unit (Year-Round) at Palmetto GBA 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

SummaryWe are currently hiring for an Appeals Coordinator to join BlueCross BlueShield of South this role as Appeals Coordinator you will be responsible for prescreening and maintaining the proper flow of the request for appeals.Why should you join the BlueCross BlueShield of South C

SummaryWe are currently hiring for an Appeals Coordinator to join BlueCross BlueShield of South this role as Appeals Coordinator you will be responsible for prescreening and maintaining the proper flow of the request for appeals.Why should you join the BlueCross BlueShield of South C

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: Palmetto GBA one of Blue

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: Palmetto GBA one of Blue

SummaryPerforms varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information and distributing mail. Applies knowledge of department policies and procedures and utilizes a gener

SummaryPerforms varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information and distributing mail. Applies knowledge of department policies and procedures and utilizes a gener

SummaryOversees the conducting of operational audits which provide verification of operating procedures and the development of quality control processes. Ensures compliance with all company directives and requirements.DescriptionLocation: This position is full-time (40-hours/week) Mon

SummaryOversees the conducting of operational audits which provide verification of operating procedures and the development of quality control processes. Ensures compliance with all company directives and requirements.DescriptionLocation: This position is full-time (40-hours/week) Mon

SummaryAssists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. Learns to conduct business process analyses needs assessments and cost/benefits analyses for aligning operations solutions with

SummaryAssists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. Learns to conduct business process analyses needs assessments and cost/benefits analyses for aligning operations solutions with

SummaryProvides a wide variety of administrative and staff support services to an organizational unit. Assists in preparation and control of records statistics and reports. Administers the most complex projects and processes specific to operating unit served. May serve as an administr

SummaryProvides a wide variety of administrative and staff support services to an organizational unit. Assists in preparation and control of records statistics and reports. Administers the most complex projects and processes specific to operating unit served. May serve as an administr

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThe Auditor II is a full-time remote position working 8:00-5:00 p.m.

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThe Auditor II is a full-time remote position working 8:00-5:00 p.m.

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 operating high speed file based integrity production mail inserters and other print/mailing equipment to meet the companys required contractual obligations related to mailing first-class correspondence statements checks etc.*Mail procedures require the adherence

SummaryResponsible for operating high speed file based integrity production mail inserters and other print/mailing equipment to meet the companys required contractual obligations related to mailing first-class correspondence statements checks etc.*Mail procedures require the adherence