Palmetto GBA

SummaryResponsible for organizing the audit block into productive units or teams and directing the activities of the teams to meet the expectations of the department the corporation and the Centers for Medicare and Medicaid Service (CMS). Ensures workload production goals and standard

SummaryResponsible for organizing the audit block into productive units or teams and directing the activities of the teams to meet the expectations of the department the corporation and the Centers for Medicare and Medicaid Service (CMS). Ensures workload production goals and standard

SummaryCoordinates market conduct and regulatory reporting activities. Researches and interprets state and federal insurance laws and regulations pertaining to marketplace activity including privacy and security measures and how these legal requirements relate to business operations.

SummaryCoordinates market conduct and regulatory reporting activities. Researches and interprets state and federal insurance laws and regulations pertaining to marketplace activity including privacy and security measures and how these legal requirements relate to business operations.

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 entry level accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of compan

SummaryResponsible for entry level accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of compan

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThis is a full time position reporting to 51 Clemson Road in Columbi

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThis is a full time position reporting to 51 Clemson Road in Columbi

SummaryMaintains all quality management system documentation at the company level. Assists and trains functional document control administrators and management in documenting procedures in accordance with certification standards. Provides support for the Quality Management System (QMS

SummaryMaintains all quality management system documentation at the company level. Assists and trains functional document control administrators and management in documenting procedures in accordance with certification standards. Provides support for the Quality Management System (QMS

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThis is a full-time remote position working Monday through Friday 8:

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThis is a full-time remote position working Monday through Friday 8:

SummaryResponsible for maintaining the proper flow of the request for appeals.DescriptionLogistics:Palmetto GBA-one of BlueCross BlueShields South Carolina subsidiary companies.SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts

SummaryResponsible for maintaining the proper flow of the request for appeals.DescriptionLogistics:Palmetto GBA-one of BlueCross BlueShields South Carolina subsidiary companies.SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts

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