Facebook · 1 day ago
Processor, Claims II (Medicare Part B Professional Claims)
Florence, South Carolina
Full-time
Onsite
Entry, Mid Level
2+ years expFacebook is part of the BlueCross BlueShield of South Carolina family of companies, which has been a significant player in the national landscape for over seven decades. The Processor, Claims II role involves reviewing and adjudicating complex claims, ensuring compliance with organizational policies and procedures.
Computer Software
Responsibilities
Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Verifies that claims have been keyed correctly
Ensures that claims are processing according to established quality and production standards. Corrects processing errors by reprocessing, adjusting, and/or recouping claims
Researches and resolves claims edits and deferrals. Performs research on claim problems by utilizing policies, procedures, reference materials, forms and coordinates with various internal support areas. Responds to routine correspondence and completes spreadsheet if applicable
Qualification
Required
High School Diploma or equivalent
2 years of experience processing, researching and adjudicating claims
Strong organizational, analytical and judgment skills
Strong oral and written communication skills
Proficient in spelling, punctuation and grammar
Proficient in basic business math
Ability to handle confidential or sensitive information with discretion
Microsoft Office
Preferred
5 years-of experience processing and adjudicating claims
Strong time management skills
Knowledge of mathematical and statistical concepts
Proficient in word processing and spreadsheet applications
Proficient database software skills
Typical office environment
Benefits
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
Company
The Facebook company is now Meta. Meta builds technologies that help people connect, find communities, and grow businesses.
10001+ employees
H1B Sponsorship
Facebook has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (942)
2021 (5811)
2020 (4476)
Funding
Current Stage
Late StageLeadership Team
Arunava Chatterjee
Executive Director of Ghost Black Operations & CEO & CTO
Shubhra Gupta
CEO
Recent News
Business Live
2025-11-03
2025-11-01
Company data provided by crunchbase