PGBA Jobs in United States

This Operations Manager role manages daily activities of a multi-functional area. · ...

This position involves processing claims accurately and on time. · ...

A leading administrative services provider is seeking an experienced auditor to join their team in Columbia, South Carolina. This role requires a Bachelor's degree and a minimum of 5 years of auditing experience. Candidates must possess strong analytical skills, the ability to co ...

We are currently hiring for a Claims Customer Service Manager to join BlueCross BlueShield of South Carolina. · This includes clerical duties such as photocopying compiling records filing tabulating posting information distributing mail screening scanning data element verificatio ...

Responsible for accurate and timely processing of claims.Researches and processes claims according to business regulation,internal standards and processing guidelines.Verifies coding of procedure diagnosis codes.Resolves system edits audits claims errors through research use appr ...

This LPN Medical Reviewer will perform medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services. · ...

Summary · Responsible for the accurate and timely processing of claims. · Description · Logistics: PGBA - one of BlueCross BlueShield's South Carolina subsidiary companies. · Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office e ...

This position is responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals.The role involves identifying incorrectly processed claims and completing adjustments and related reprocessing actions. · ...

Responsible for identifying training needs and developing training materials to facilitate technical and non-technical training. Provides guidance and leadership for new training specialists. · Leads, plans and prioritizes training projects from conducting needs assessments to de ...

This position is responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. · PGBA – is a subsidiary company of BlueCross BlueShield of South Carolina. · ...

Responsible for the accurate and timely processing of claims.We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. · ...

Job Title: Technician · Perform routine to moderately complex clerical/accounting functions such as inventory balancing and reconciliations. · Generate refund request letters and process disbursements and deposits. · ...

This position is responsible for accurate and timely processing of claims. · High School Diploma or equivalentStrong analytical, organizational and customer service skillsStrong oral and written communication skillsPersistent spelling punctuation grammar skills/li>Judgment Skills ...

Claims And Appeals Representative · From the moment of login, you'll be focused on proactively resolving our members' and/or providers' questions and concerns using computer-based resources to find answers. Communication via telephone, written, web, or walk-in inquiries. You wil ...

We have a job opening for the position of Business Management Summer Student Intern at PGBA. · Why should you join the BlueCross BlueShield of South Carolina family of companies? · This is a full-time internship (40 hours/week) Monday-Friday working on-site at 17 Technology Circl ...

Job Title · Under 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 item ...

This job involves performing routine clerical duties in accordance with standard procedures. The role includes tasks such as photocopying, compiling records, filing and data element verification. The candidate must have strong organizational and analytical skills. · Receives and ...

This position is responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. · Researches and responds to written inquiries according to desk procedures. · Identifies incorrectly processed claims and completes adjustments. · ...

Claims Processor · Responsible for the accurate and timely processing of claims. · Logistics: PGBA one of BlueCross BlueShield's South Carolina subsidiary companies. · Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment ...

This position is responsible for identifying training needs and developing training materials to facilitate technical and non-technical training to employees business partners external customers and other audiences. · ...