Medical Reviewer II performing medical reviews utilizing clinical information and established guidelines. Supporting insurance claims management and educating staff regarding processes and terminology.
BC
BlueCross BlueShield of South Carolina
Currently Hiring
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About the company
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape.
Our roots are firmly embedded in the state.
We are the largest insurance company in South Carolina.
We are also the only one that has an A+ Superior A.M.
Best rating.
We are one of the nation's leading government contract administrators.
We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies.
Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance.
If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty.
BlueCross has a dedicated corporate culture of community support.
Our employees are some of the most giving in the country.
They support dozens of nonprofit organizations every year.
If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now!
BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association.
We are an Equal Opportunity/Affirmative Action Employer.
We will consider all qualified applicants for employment regardless of age, race, color, national origin, gender, religion, veteran status, disability, weight, gender orientation, gender identity, genetic information or any other legally protected status.
Open jobs
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6 jobs found
Medical Reviewer conducting medical claims reviews for BlueCross BlueShield of South Carolina. Working onsite initially then transitioning to remote after training period.
Claims Processor reviewing and adjudicating complex claims for BlueCross BlueShield. Excels in analyzing and resolving claims issues while training new staff members in a hybrid work environment.
Performs medical reviews and utilization management of facility benefits at BlueCross BlueShield. Responsible for documentation and support of medical claims and utilization practices.
Wellbeing Strategy Consultant developing and promoting wellness solutions within client organizations to enhance employee health and reduce costs. Responsible for client presentations and integrated wellness offerings.
Auditor conducting financial and compliance audits for management. Evaluating internal controls and developing detailed reports on audit findings in Birmingham, Alabama or Columbia, South Carolina.