Bluecross Blueshield of South Carolina jobs

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Physician / Pulmonology - Critical Care / South Carolina / P...
Staff Physician Recruiter - South Carolina
Since its recent renovation, the hospital has earned recognition as an Aetna Institute of Quality Orthopedic Care Facility for total joint replacement surgery...
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Provider Relations Representative

BlueCross BlueShield of South Carolina - 3,646 reviews - Columbia, SC
Provides education and training support for network providers/staff/suppliers/physicians/beneficiaries/referral agents as necessary. Develops and produces

Customer Service Advocate I

BlueCross BlueShield of South Carolina - 3,646 reviews - Columbia, SC
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Required Education

Managed Care Coordinator I (RN)

BlueCross BlueShield of South Carolina - 3,646 reviews - Columbia, SC
Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies and

Claims Processor I

BlueCross BlueShield of South Carolina - 3,646 reviews - Columbia, SC
Responsible for the accurate and timely processing of claims. Required Education High school diploma or equivalent. Required Work Experience Claims

Quality Assurance Analyst

BlueCross BlueShield of South Carolina - 3,646 reviews - Columbia, SC
Under direct supervision, performs quality control audits, reviews or monitoring of departmental operations functions, including, but not limited to, claims,

Data Analyst II

BlueCross BlueShield of South Carolina - 3,646 reviews - Columbia, SC
Analyzes data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for

Accountant I

BlueCross BlueShield of South Carolina - 3,646 reviews - Columbia, SC
Responsible for entry level accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial

Digital Specialist

BlueCross BlueShield of South Carolina - 3,646 reviews - Columbia, SC
Accepts, reviews, and processes all files for printing request jobs. Performs all actions required to make files print-ready, including converting all

RN Case Management Supervisor

BlueCross BlueShield of South Carolina - 3,646 reviews - Columbia, SC
Responsible for the supervision and maintenance of the daily functions of the following areas: Utilization Review/Review Nurses, Case Management, Medical

Qualified Independent Contractor Assistant

BlueCross BlueShield of South Carolina - 3,646 reviews - Nashville, TN
Provides all redetermination case file information within the specified time requirement while maintaining accuracy and departmental standards. Suspends

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