16 to 30 of 159
Sort by: Date | Relevance
BlueCross BlueShield of South Carolina
- Washington, DC / Blue Bell, PA / Wilmington, DE / 6 more...
Companion Data Services (CDS) is a part of the Celerian Group, a consortium of highly regarded companies which are a subsidiaries of BlueCross BlueShield of South Carolina. CDS provides leading IT solutions and managed services to federal health agencies and commercial health organizations. With four U.S. locations and decades of experience in government, commercial and e
Posted 8 days ago
Provides support to the underwriting department. Reviews applications/proposals, endorsement requests from agents, and performs data entry. Analyzes renewal policies, performs quality control, training, and provides customer service to agents and customers. Description Processes mail, email and fax items received in underwriting to maintain departmental productivity, qual
Posted 1 day ago
Researches, resolves, and tracks suspected compliance/privacy issues and provides guidance to management and employees. Conducts complex internal/external compliance audits. Provides information on compliance activities for reports to board of directors, executive management, and other internal and external sources as needed. Description Conducts ongoing, internal and ext
Posted 1 day ago
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk in inquiries. Accurately documents inquiries. Initiates or processes adjustments or performs other rese
Posted 3 days ago
BlueCross BlueShield of South Carolina
- Springfield, IL / Atlanta, GA / Burlington, VT / 47 more...
Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources. Description This position is remote. Conduct internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, an
Posted 3 days ago
THIS POSITION MAY BE WORKED FROM HOME IN ANY STATE. Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workf
Posted 7 days ago
Responsible for developing, maintaining and updating website content including HTML based demos. Translates complex policy into user friendly, plain language. Identifies all Web content and collateral content affected by constant changes to information and makes timely updates. Monitors, analyzes and reports Web trends to identify and coordinate the development/enhancemen
Posted 1 day ago
Underwrite a profitable book of business in the employer stop loss marketplace through Managed Care Organizations, Third Party Administrators (TPAs), Brokers, Hospitals, and BlueCross BlueShield organizations and service all business to targeted profitability and service objectives. Utilizing effective risk selection techniques and maintaining financial discipline, secure
Posted 1 day ago
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk in inquiries. Accurately documents inquiries. Initiates or processes adjustments or performs other rese
Posted 3 days ago
Prepares and revises automated cost report data files to incorporate audit adjustments and to ensure that cost reports meet all requirements for acceptance. Processes original filing and settlement cost reports. Description Job Description Completes revisions of cost report data files incorporating the audit adjustments. Prepares the formal audit adjustment report, ensuri
Posted 4 days ago
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk in
Posted 8 days ago
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquires may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk in i
Posted 1 day ago
BlueCross BlueShield of South Carolina
- Springfield, IL / Columbia, SC / Nashville, TN
Responsible 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 assigned portions of audit programs, determines compliance with policies and procedures, recomme
Posted 4 days ago
Oversees an area responsible for claims, appeals, and/or customer service to ensure departmental performance guarantees are met. Description Ensure prompt and accurate settlement of claims, appeals, and/or customer service inquiries. Coordinates with other areas while establishing and maintaining excellent customer relations. Analyze problems and concerns to make effectiv
Posted 1 day ago
Provides financial reconciliations and reports/analysis of Medicare Trust Fund activities to support government requirements. Prepares/documents complex financial analysis projects following standard practices and procedures. Extracts financial data from various accounting and information systems. Performs financial analysis of data. Description Reviews and/or prepares fi
Posted 4 days ago
Email this Job to Yourself or a Friend
Indicates required fields