Inactive
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BlueCross BlueShield of South Carolina

Health insurance and plan administration

EDI Operations 2 Associate

Enterprise ApplicationsPosted on Nov 11
Full-timeColumbia, SC, USANo salary listed

About the Job

Requirements

  • An Associate's degree in a job-related field, or two years of job-related work experience as degree equivalency.
  • Two years of applicable Electronic Data Interchange (EDI) experience.
  • Good system research and analysis skills.
  • Working knowledge of relevant EDI software and tools used by the company or contract.
  • Good organizational, judgment, customer service, verbal communication, and written communication skills.
  • Good spelling, punctuation, and grammar skills.
  • Basic math and computer skills.
  • Ability to handle confidential or sensitive information with discretion.
  • Microsoft Office skills.

Responsibilities

  • Provide quality and timely internal and external customer technical support and service for assigned insurance contracts, including support of communication interfaces, transactions, and functions required by insurance laws, such as claims, remittance advices, claims status and eligibility inquiries and responses, enrollment, and premium payment.
  • Support all current formats and transactions required by law and the company's lines of business.
  • Set up electronic transaction submissions by processing enrollment applications, updating associated system files, and managing customer notification.

Desired Qualifications

  • Five years of applicable Electronic Data Interchange (EDI) experience.
  • Knowledge of INFO and EPClaims.

About the Company

BlueCross BlueShield of South Carolina

Health insurance and plan administration

BlueCross BlueShield of South Carolina is a South Carolina-owned mutual health insurer and health-plan administrator. It offers individual, employer, Medicare and other coverage while operating provider networks, member services, claims and administrative programs. The organization also supports government and commercial health contracts through related businesses and specialized operations. This profile refers specifically to the South Carolina company, not the national Blue Cross Blue Shield Association, and centers on its role connecting members, employers, healthcare providers and public programs.

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