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001 Blue Cross And Blue Shield Of South Carolina

Technical Information Specialist

Florenceonsitemid

Posted today · via Workday

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About this role

Summary Responsible for the maintenance of records and the processing of claims in medical review along with any and/or all of the following: processes ingoing/outgoing mail and prepares work for nursing staff. Troubleshoots claims prior to nurse review and after review. Monitors timeliness of claims processing and adjusts claims keyed incorrectly. Performs quality control of work processes. Description Logistics: Palmetto GBA - one of BlueCross BlueShield's South Carolina subsidiary companies. This is not an IT or computer science role. It's a detail-oriented, clerical support position serving the medical review team. If you have strong administrative skills and an interest in healthcare operations, this role is a great fit.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

We compare your skills against the role requirements.

2

Level fit

This role is mid-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is based in Florence. We weight your proximity and willingness to relocate.

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