Columbia, South Carolina, United States · On-site
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roo…
Skills: Data Analysis, Accounting, Auditing, Billing, Claims Processing
Columbia, South Carolina, United States · On-site
JOB PURPOSE: Coordinates the admission/transfer/discharge of patients in accordance with federal, state and local regulations, established procedural guidelines and as directed by your supervisor. KEY RESPONSIBILITIES: P…
Skills: Patient Admission, Discharge Planning, Financial Verification, Regulatory Compliance, Patient Orientation
Columbia, South Carolina, United States · Remote OK
$20/hr–$22/hr
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer …
Skills: Revenue Cycle Management, Account Analysis, Underpayment Recovery, Insurance Regulations, Customer Service
Columbia, South Carolina, United States · On-site
Pyramid Global Hospitality is a leading hospitality management company with a portfolio of more than 200 hotels and resorts and over 18,000 associates across the United States, Caribbean, and Europe. Our platform include…
Skills: Customer Service, Guest Registration, Communication Skills, Problem Solving, Computer Skills
Columbia, South Carolina, United States · On-site
We are looking for a highly motivated individuals to join our Front Desk team. The ideal candidate uses their engaging personality to create a memorable first impression for our guests. While checking in, registering gue…
Skills: Customer Service, Guest Registration, Problem Solving, Sales, Communication
Columbia, South Carolina, United States · On-site
Your Opportunity Join us for Career Day in Columbia, SC!Thursday, July 30th 4:00PM-6:00PM TitleMax 7301-A Two Notch Rd Columbia, SC 29223 (803) 788-0700 Join a company that fuels your drive with real opportunities for pr…
Skills: Customer Service, Financial Transaction Processing, Cash Handling, Data Entry, Communication Skills
Columbia, South Carolina, United States · On-site
Are you dependable, hardworking, and ready to jump in where needed? Job Purpose: We are seeking Temporary Turn Help to support our community during a busy turn period. This role will assist with a variety of tasks relate…
Skills: Cleaning, Trash Removal, General Maintenance, Painting, Unit Inspections
Columbia, South Carolina, United States · On-site
Job Description Summary MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina that provides healthcare to patients within the rural health network throughout the state of South Caro…
Skills: Patient Scheduling, Patient Check-out, Medical Coding, Financial Coordination, Transaction Editing System (TES)
Columbia, South Carolina, United States · On-site
Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improv…
Skills: Phlebotomy, Vital Signs, Drug And Alcohol Testing, Patient Triage, Medical Documentation
Columbia, South Carolina, United States · On-site
Prisma Health Urgent Care - Delivering Quality Care with Purpose Are you a passionate Medical Assistant looking for a dynamic and rewarding career? Join Prisma Health Urgent Care, where you'll make a meaningful impact in…
Skills: Triage, Vital Signs, Venipuncture, Injections, IV Insertion
Columbia, South Carolina, United States · On-site
Overview Responsible for scheduling the home visits for the field staff and assisting with the coordination of patient care. Works under the direction of the Clinical Manager to ensure the proper utilization of clinical …
Skills: Patient Scheduling, Care Coordination, Clinical Resource Management, Oasis Visits, Clinician Productivity Tracking
Columbia, South Carolina, United States · On-site
BenchMark Physical Therapy, a brand partner of Upstream Rehabilitation, is looking for a Physical Therapy Technician to join our team in Columbia, SC! Are you looking for a position in a service-based culture where you c…
Skills: Patient Care, Customer Service, Communication, Organization, Multitasking
Columbia, South Carolina, United States · On-site
BenchMark Physical Therapy, a brand partner of Upstream Rehabilitation, is looking for a Physical Therapy Technician to join our team in Columbia, SC! Are you looking for a position in a service-based culture where you c…
Skills: Customer Service, Communication, Organization, Multitasking, Computer Proficiency
Columbia, South Carolina, United States · On-site
$15/hr–$16/hr
Hotel Equities, a multi-award-winning hotel development and hospitality management company, is currently searching for a remarkable Night Audit for the Sheraton Columbia Downtown Hotel in Columbia, South Carolina. Night …
Skills: Guest Relations, Front Desk Operations, Cash Handling, Property Management Systems, Upselling
Columbia, South Carolina, United States · On-site
Company Description For 70 years, our firm has been a trusted legal partner throughout North and South Carolina — delivering strategic defense, practical counsel, and results that matter. Across our five offices, we comb…
Skills: Civil Litigation, Legal Research, Medical Record Summarization, Drafting Pleadings, Proofreading
Columbia, South Carolina, United States · On-site
Company Information Recognized as one of the Best Places to Work in South Carolina, AMAROK is the Ultimate Perimeter Security solution. Our unique and technically advanced electric fence reliably stops theft and other cr…
Skills: Salesforce, Microsoft Office, Data Research, Interpersonal Communication, Report Writing
Columbia, South Carolina, United States · On-site
$13/hr–$16/hr
Candlewood Suites Columbia-Ft. Jackson | 921 Atlas Rd, Columbia, SC 29209 Join Maya Hotels and Take the Next Step in Your Career! Are you a driven and Customer-oriented professional with a passion for hospitality? At May…
Skills: Customer Service, Guest Relations, Reservation Management, Cash Handling, Conflict Resolution
Columbia, South Carolina, United States · On-site
Optometric Technicians work in conjunction with the doctors to perform activities involving patient care, pre-testing, post-exam duties, specialty testing, and maintain the doctor’s appointment schedule in a manner that …
Skills: Patient Care, Pre-testing, Electronic Health Records, Medical Coding, Diagnostic Testing
Columbia, South Carolina, United States · On-site
$20/hr
Job DetailsJob Location: Columbia, SC (Onsite) - Columbia, SC 29210Position Type: Full TimeSalary Range: $20.00 HourlyJob Shift: AnyAbout Capitol Bridge Founded in 2012, Capitol Bridge is based in Arlington, Virginia and…
Skills: Case Management, Administrative Support, Data Reconciliation, Microsoft Excel, Microsoft Outlook
Columbia, South Carolina, United States · On-site
We’re looking for outgoing, energetic team planers to welcome members, answer questions, and deliver the ultimate fitness experience. As a Front Desk Associate, you’ll set the tone for every visit - creating a friendly, …
Skills: Communication Skills, Multitasking, Customer Service, Cash Handling, Computer Skills
Columbia, South Carolina, United States • On-site
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Responsible for preparing, filing, and tracking stop loss claim packets and responding to information requests. Performs complex analysis and audits of claims data to validate submissions and resolve discrepancies.
Requires a bachelor's degree or equivalent experience and 3 years of experience in accounting, auditing, billing, claims, membership, or finance. Proficiency in Microsoft Office, specifically Access, is required.
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, 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, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Responsible for submitting stop loss claim packets and responding to any requests for additional information. Additionally, the claims must be tracked and monitored. Complex analysis is performed and queries are generated to file and validate the claim submissions.
Logistics: BlueCross BlueShield of South Carolina.
Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 7:30AM-4:30PM. This role is located at 4101 Percival Road, Columbia, SC 29229.
Prepare and file 50% and 100% stop loss claim packets. Run queries, compile eligibility data and submit claim packet.
Audit stop loss positions by running queries and comparing to the accumulated claims in the billing system. Research variances, document discrepancies and make appropriate adjustments.
Respond to audit letters. Work with other areas including claims, marketing and managed care to obtain requested information.
Track claims packet filing and MGU responses. Log all submissions, audit letters receipts and responses in the tracking database/log.
Provide manual monitoring of special stop loss scenarios including carved out pharmacy. Ensure the member's stop loss positions are properly tracked and updated.
Perform complex reviews of claims data in situations where the stop loss system does not accurately accumulate stop loss positions. Create custom reports and spreadsheets based on customer inquiries.
Required Education: Bachelors in a job-related field
Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
Required Experience: 3 years in accounting, auditing, billing, claims, membership, or finance.
Required Skills and Abilities: Ability to compile information, perform research and analyze data. Strong customer service and organizational skills.
Excellent verbal and written communication skills. Ability to take initiative and meet deadlines. Attention to detail.
Required Software and Other Tools: Microsoft Office including Access.
Experience within a self-funded insurance programs.
Experience with AMMS claims processing system, experience with PFAB claims billing system, DB2 experience.
We offer our employees great benefits and rewards. You will be eligible to participate in our benefits program the first of the month following 28 days of employment.
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
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
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 our recruiter to verify resume specifics and salary requirements.
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.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
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South Carolina’s largest and oldest health insurance company
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state. We are the largest insurance company in South Carolina. We are also the only one that has an A+ Superior A.M. Best rating. We are one of the nation's leading government contract administrators. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies. Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance. If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty. BlueCross has a dedicated corporate culture of community support. Our employees are some of the most giving in the country. They support dozens of nonprofit organizations every year. If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now! BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. We are an Equal Opportunity Employer. We will consider all qualified applicants for employment 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.
Offices: I-20 E at Alpine Road, Columbia, South Carolina 29219, US
There are currently 356 open administrative positions in Columbia, SC listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Prisma Health, BlueCross BlueShield of South Carolina, MUSC Health, PruittHealth, Allegiance Industries, Inc., among others. Browse the listings above to see every active employer.
Yes — 46 of the 356 open administrative positions offer remote or hybrid work (19 remote, 27 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
