Ourhrconnect
Provider File Specialist I
Columbia, South Carolina · Contract
Sponsorship not specifiedDetected 14 days ago
SQLAuditingLogisticsCustomer SupportResearchCommunicationMicrosoft OfficeClaims Management
About the role
- Why should you join the BlueCross BlueShield of South Carolina family of companies?
- We operate one of the most sophisticated data processing centers in the Southeast.
- If you are dedicated to the same philosophy, consider joining our team!
Responsibilities
- We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
- Prepares provider files/maintains provider data (updates, additions, deletions) on the provider information management system (PIMS) or appropriate provider system/database.
Requirements
- You may be required to travel between buildings.
- Degree Equivalency:
- Required Experience: 1 year of administrative/clerical support, customer service, claims processing, and/or provider network/certification experience.
- Required Software and Other Tools: Microsoft Office
- Required Skills and Abilities: Working knowledge of word processing and spreadsheet software.
Skills
- Working knowledge of word processing and spreadsheet software.
- Knowledge/understanding of or ability to acquire PIMS.
- Effective customer service and organizational skills.
- Demonstrated verbal and written communication skills.
- Basic business math proficiency.
- Ability to handle confidential or sensitive information with discretion.
- We Prefer That You Have the Following:
- Demonstrates strong telephone customer service skills.
- Quality and auditing experience.
- Subsidized health plans, dental and vision coverage
- 401k retirement savings plan with company match
- Life Insurance
Compensation
- This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Benefits
- Verifies necessary/needed information (written notifications, faxes, emails, or telephone contacts) and/or establishes certification of healthcare service providers.
- Contributes to department's production standard by working on PIMS and AMMS (automated medical management systems) or appropriate provider system/database maintenance/error reports.
- Required Education: High School Diploma or equivalent
- Our Comprehensive Benefits Package Includes The Following:
- We offer our employees great benefits and rewards.
- You will be eligible to participate in the benefits the first of the month following 28 days of employment.
- Paid Time Off (PTO)
- Education Assistance
Equal opportunity
- 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 disabilities and 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.
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This listing is sourced directly from Ourhrconnect's careers page and normalized into a canonical job model.