Appeals Specialist – CGS Admin

🔥 15 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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BlueCross BlueShield of South Carolina

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Insurance • Finance

BlueCross BlueShield of South Carolina is a leading health insurance provider that offers a variety of health plans, including individual and family plans, Medicare options, and group health plans. The organization focuses on providing coverage and resources for members, employers, and healthcare providers, ensuring access to quality healthcare services. With a commitment to promoting healthier lifestyles and supporting community health, BlueCross BlueShield of South Carolina plays a vital role in the healthcare landscape of the region.

📋 Description

• Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy. • Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools. • Updates letter's and documents within the department when necessary. • May gather and prepare documentation for legal inquiries and administrative requests.

🎯 Requirements

• High School Diploma or equivalent • 2 years job related field • Demonstrated proficiency in word processing and spreadsheet software • Excellent organizational, customer service, and written and verbal communication skills • Good judgment skills. • Proficiency in spelling, punctuation, and grammar skills. • Microsoft Office proficiency

🏖️ Benefits

• Subsidized health plans, dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more