BlueCross BlueShield of South Carolina
When you hear "BlueCross BlueShield of South Carolina," you'll see people nodding in recognition. Most everyone knows who we are. As the only South Carolina-owned and operated health insurance carrier, we have been offering security to Palmetto State citizens for more than 65 years. We are also one of South Carolina's largest employers.
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Our financial stability is on record. In December 2017, A.M. Best reaffirmed our A.M. Best rating of A+ (Superior) — making us the only health insurance company in South Carolina with that rating. One of the few companies nationwide to achieve this distinction, this year also marks the 16th consecutive year that S.C. BlueCross met this high standard. For the latest ratings, access www.AMBest.com.
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We offer the largest provider networks in the state, offering members the greatest choice in doctors, hospitals and other health care providers.
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Our extensive menu of health plans, discounts, added values and online services means more choices for our members, with plans to fit every budget and lifestyle.
What you may not know is just how diverse our company is. Included in our family of companies is BlueChoice HealthPlan of South Carolina, our managed care subsidiary, which also includes Healthy BlueSM, our Medicaid health plan. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association.
But there is also a lot more to us than health insurance. We have many affiliated companies that are not licensed with the Blue Cross and Blue Shield Association. These companies are located in South Carolina, Georgia, Ohio, Tennessee and Texas. Some offer other insurance products, such as property, life and mental health and substance abuse benefits. Others administer contracts for the federal government. Some even focus on technology.
BlueCross is also a major supporter of community and charitable causes. We support health care-related research, education and service in South Carolina through the BlueCross BlueShield of South Carolina Foundation.
Trust. Value. Choices. We're BlueCross BlueShield of South Carolina.
Search among BlueCross BlueShield of South Carolina jobs
| Jobs: 1 - 10 of 178 |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048767 Summary Responsible for auditing group (small/large/complex) accounts to ensure premium payments and/or reimbursements are processed/reported in timely/accurate manner. Audits subscriber accounts to ensur...
9h
| Job Type | Full Time |
Claims Customer Service Advocate II
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048553 Summary Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquirie...
9h
| Job Type | Full Time |
Florence, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048797 Summary Under direct supervision, performs quality control audits, reviews, or monitoring of departmental operations functions including, but not limited to, claims, membership, customer service/call cent...
9h
| Job Type | Full Time |
FCMB Claims Customer Service Advocate II
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048804 Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reproces...
15h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048599 Summary Serves as team lead and is responsible for coordinating area processes/tasks to include the following: distribution of work, logging access database, processing group changes, responding to inquir...
15h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048791 Summary Responsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely, complete, and accurate processing of authori...
15h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1045722 Summary Serves as the day to day lead in the client issues, service resolution of assigned accounts. Works with management and internal stakeholders on client specific or departmental initiatives.Descript...
15h
| Job Type | Full Time |
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048786 Summary Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to dete...
15h
| Job Type | Full Time |
Behavioral Health Case Management Coordinator (Upstate or Low Country, SC)
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048246 Summary We are currently hiring for a Behavioral Health Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Behavioral Health Case Management Coordinator, care ma...
15h
| Job Type | Full Time |
Sales Representative - The Blues Store - Columbia, SC
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046846 Summary Responsible for providing consultative sales and service to customers seeking health and ancillary insurance products and information. Accepts payments from customers, assists with wellness educat...
15h
| Job Type | Full Time |