Appeals Coordinator

Appeals Coordinator

We are currently hiring for an Appeals Coordinator to join BlueCross BlueShield of South Carolina. In this role as Appeals Coordinator, you will be responsible for prescreening and maintaining the proper flow of the request for appeals.

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.

Location :

This position is onsite at 17 Technology Circle, Columbia, S.C., 29203, full time (40 hours / week) Monday-Friday 8am-5pm.

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 :

What We Prefer :

What We Can Do for You :

What to Expect Next :

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

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 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.

If you need special assistance or an accommodation while seeking employment, please email

mycareer.help@bcbssc.com

or 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.