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Appeals Coordinator
BlueCross BlueShield of South Carolina. Research requests, enter appropriate data to identify case specifics, and build appeals cases in the system .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong organizational skills and attention to detail in managing appeals cases, ensuring quality control and effective communication throughout the process. Proficient in Microsoft Office and capable of handling administrative tasks efficiently in a hybrid work environment.
Highest-signal resume keywords
Administrative Support ExperienceMicrosoft Office ProficiencyOrganizational SkillsWritten And Verbal Communication SkillsCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Word ProcessingSpreadsheet SoftwareData EntryQuality ControlDocument Preparation
Soft Skills
Effective JudgmentAttention To Detail
Certifications & Qualifications
High School Diploma Or Equivalent
Industry Keywords
Appeals CasesClerical ExperienceCase FilesQuality Control Processes
About the role
Key responsibilities & impact- Research requests, enter appropriate data to identify case specifics, and build appeals cases in the system
- Log requests to the appropriate functional area
- Generate letters, assemble files, order records, and obtain additional information as directed
- Ensure quality control of all appeals in the appeals system
- Pend documents to be saved electronically
- Prepare case files for review and/or further routing
- Complete training before transitioning to the hybrid work arrangement
Requirements
What you’ll need- High School Diploma or equivalent
- 1 year administrative support/clerical or job related experience
- Demonstrated proficiency in word processing and spreadsheet software
- Effective organizational and customer service skills
- Good judgment skills
- Proficiency in spelling, punctuation, and grammar skills
- Demonstrated written and verbal communication skills
- Microsoft Office
- Ability to work Monday through Friday, 40 hours per week
- Ability to work an 8-hour shift scheduled within department business hours of 7:00 a.m. to 7:45 p.m.
- Occasional overtime may be required based on business needs
Benefits
Comp & perks- 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
- Reasonable accommodations for individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs