Technical Information Specialist

Logistics: Palmetto GBA - one of BlueCross BlueShield's South Carolina subsidiary companies.

Working onsite at 17 Technology Circle, Columbia, SC 29203 or 200 North Dozier Boulevard Florence, SC 29501

• Processes denials of claims. Processes adjustment claims for both pre-pay and post-pay departments.

• Investigates and analyzes adjustment claim history and denial records.

• Prescreens records for review and maintains accurate records of all claims.

• Communicates with provider community and assists provider service department in responding to inquiries. Generates educational correspondence to providers regarding denials.

Required Work Experience:

• Oneyear administrative/clerical support.

Required Education:

• High School diploma.

Required Skills and Abilities:

• Working knowledge of word processing software.

• Strong analytical, organizational, and customer service skills.

• Strong verbal and written communication skills.

• Proficiency in spelling, punctuation, and grammar skills.

• Good judgment skills.

• Ability to handle confidential or sensitive information with discretion.

Required Software and Tools:

• Microsoft Office.

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 mycareer.help@bcbssc.comor call 800-288-2227, 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. Here's moreinformation.

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