Palmetto GBA

SummaryResponsible for assisting in the execution of financial compliance and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans policies and procedures prescribed by management. Reviews assi

SummaryResponsible for assisting in the execution of financial compliance and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans policies and procedures prescribed by management. Reviews assi

SummaryWe have a job opening for the position of Accounting/Audit Business Unit Student at Palmetto GBA a subsidiary of BlueCross BlueShield of South Carolina. Responsibilities may vary based on departmental needs and the interns experience. Working under direct supervision the intern

SummaryWe have a job opening for the position of Accounting/Audit Business Unit Student at Palmetto GBA a subsidiary of BlueCross BlueShield of South Carolina. Responsibilities may vary based on departmental needs and the interns experience. Working under direct supervision the intern

SummaryPalmetto GBA is one of the nations largest providers of high-volume claims and transaction processing contact center operations and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries

SummaryPalmetto GBA is one of the nations largest providers of high-volume claims and transaction processing contact center operations and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries

SummaryResponsible for assisting in the execution of financial compliance and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans policies and procedures prescribed by management. Reviews assi

SummaryResponsible for assisting in the execution of financial compliance and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans policies and procedures prescribed by management. Reviews assi

SummaryResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.DescriptionPosition Purpose:From the moment of login youll be focused

SummaryResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.DescriptionPosition Purpose:From the moment of login youll be focused

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday from 8:00am-5:00pm in a typical office environmen

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday from 8:00am-5:00pm in a typical office environmen

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Car

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Car

SummaryProvides direction and guidance to customer service claims processing and/or appeals staff for multiple operational areas.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Mo

SummaryProvides direction and guidance to customer service claims processing and/or appeals staff for multiple operational areas.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Mo

SummaryResponsible for directing all contract activities to ensure that contractual obligations are met and compliance is maintained with mandatory government regulations applicable laws and Corporate policies/ addition this position is responsible for interacting with contracting par

SummaryResponsible for directing all contract activities to ensure that contractual obligations are met and compliance is maintained with mandatory government regulations applicable laws and Corporate policies/ addition this position is responsible for interacting with contracting par

SummaryIdentifies researches and investigates providers for aberrant and abusive billing practices against the company and its subsidiaries. Analyzes hospital accounting records and credit reports for overpayments and fraudulent billing to the corporation.DescriptionLocation: This pos

SummaryIdentifies researches and investigates providers for aberrant and abusive billing practices against the company and its subsidiaries. Analyzes hospital accounting records and credit reports for overpayments and fraudulent billing to the corporation.DescriptionLocation: This pos

SummaryIdentifies researches and investigates providers for aberrant and abusive billing practices against the company and its subsidiaries. Analyzes hospital accounting records and credit reports for overpayments and fraudulent billing to the corporation.DescriptionLocation: This pos

SummaryIdentifies researches and investigates providers for aberrant and abusive billing practices against the company and its subsidiaries. Analyzes hospital accounting records and credit reports for overpayments and fraudulent billing to the corporation.DescriptionLocation: This pos

SummaryPalmetto GBA is one of the nations largest providers of high-volume claims and transaction processing contact center operations and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries

SummaryPalmetto GBA is one of the nations largest providers of high-volume claims and transaction processing contact center operations and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries

SummaryProvides direction and guidance to customer service claims processing and/or appeals staff for multiple operational areas.DescriptionLocation: This position is onsite full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift schedule

SummaryProvides direction and guidance to customer service claims processing and/or appeals staff for multiple operational areas.DescriptionLocation: This position is onsite full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift schedule

SummaryProvides direction and guidance to customer service claims processing and/or appeals staff for multiple operational areas.DescriptionLocation: This position is onsite full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift schedule

SummaryProvides direction and guidance to customer service claims processing and/or appeals staff for multiple operational areas.DescriptionLocation: This position is onsite full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift schedule

SummaryAccountable for managing one or more teams responsible for customer service. Manages the day-to-day operations and workload issues for staff.DescriptionLocation: This position is onsite full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8

SummaryAccountable for managing one or more teams responsible for customer service. Manages the day-to-day operations and workload issues for staff.DescriptionLocation: This position is onsite full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8

SummaryManages a team of associates responsible for the accurate and timely processing and adjudication of claims.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday in

SummaryManages a team of associates responsible for the accurate and timely processing and adjudication of claims.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday in

SummaryWe are currently hiring for a Customer Service Advocate I to join Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies here in Birmingham AL. You will be responsible for providing prompt accurate thorough and courteous responses to all customer inquiri

SummaryWe are currently hiring for a Customer Service Advocate I to join Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies here in Birmingham AL. You will be responsible for providing prompt accurate thorough and courteous responses to all customer inquiri

SummaryJoin our team serving active and retired US military members and their covered family members. We strive to ensure that these dedicated individuals and their loved ones receive high-quality care administered as economically as possible and in accordance with current evidence-b

SummaryJoin our team serving active and retired US military members and their covered family members. We strive to ensure that these dedicated individuals and their loved ones receive high-quality care administered as economically as possible and in accordance with current evidence-b

SummaryResponsible for maintaining the proper flow of the request for appeals.DescriptionLogistics:Palmetto GBA-one of BlueCross BlueShields South Carolina subsidiary companies.Work Setting: Onsite at 200 Dozier Blvd Florence SC 29501 OR 17 Technology Circle Columbia SC 29203Working H

SummaryResponsible for maintaining the proper flow of the request for appeals.DescriptionLogistics:Palmetto GBA-one of BlueCross BlueShields South Carolina subsidiary companies.Work Setting: Onsite at 200 Dozier Blvd Florence SC 29501 OR 17 Technology Circle Columbia SC 29203Working H