Appeals Coordinator

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<div class="isg-job-description“>Internal Reference Number: R1048977
Summary Responsible for maintaining the proper flow of the request for appeals.Description

Location

This position and training is onsite at 17 Technology Circle, Columbia, S.C., 29203, full time (40 hours/week) Monday-Friday between the hours of 7am-7pm.

What You Will Do:

• Research requests, enters appropriate data to identify case specifics and builds appeals cases on the system

• Logs requests to appropriate functional area, generates letters, assembles files, orders records and obtains additional information as directed

• Ensures quality control of all appeals on the appeals system, pends documents to be saved electronically, and prepares case files for review and/or further routing

To Qualify for This Position, You Will Need:

• Required education: High school diploma or equivalent

• Required work experience: One year of healthcare administrative, clerical or job related experience

• Required Skills and abilities: Demonstrated proficiency in word processing and spreadsheet software, effective organizational and customer-service skills, good judgment, proficiency in spelling, punctuation and grammar, demonstrated written and oral communications skills, microsoft Office skills

What We Prefer:

• Three years-claims, customer service OR healthcare program management.

• Ability to persuade, negotiate, OR influence.

• Knowledge of Microsoft Access OR other database software.

What We Can Do for You:

• 401(k) retirement savings plan with company match.

• Subsidized health plans and free vision coverage.

• Life insurance.

• Paid annual leave – the longer you work here, the more you earn.

• Nine paid holidays.

• On-site cafeterias and fitness centers in major locations.

• Wellness programs and healthy lifestyle premium discount.

• Tuition assistance.

• Service recognition.

• Incentive Plan.

• Merit Plan.

• Continuing education funds for additional certifications and certification renewal.

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.

Some states have required notifications. Here’s more information.

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 minorities, females, disabled individuals and 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.

 

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