Associate, EDI Operations II

Posted:
9/11/2024, 4:05:04 AM

Location(s):
South Carolina, United States ⋅ Columbia, South Carolina, United States

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Customer Success & Support


Summary
 

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!


Description
 

Position Purpose:

Provides first and second level technical support to a variety of customers comprising the submitter community, as well as basic internal support via analysis and research into EDI-related issues as required by business contracts.

What You'll Do:

  • Provides quality/timely internal/external customer technical support/service for variety of insurance contracts as assigned. This encompasses, but is not limited to, support of communication interfaces/transactions/functions as required by insurance laws (such as support of claims, remit advices, inquiry/response for claims status/eligibility, enrollment, premium payment etc.), support of all current formats/transactions required by law/BCBSSC lines of business.
  • Responsible for the setup of all electronic transactions submission by processing enrollment applications, updating associated system files, and managing customer notification.

What You Need to Qualify:
Required Education:

  • Associates degree in a job-related field.

Degree Equivalency:

  • 2 years job related work experience.


Required Work Experience:

  • 2 years of applicable EDI experience.


Required Skills and Abilities:

  • Good system research and analysis skills.
  • Working knowledge of relevant EDI software and tools used by the company/contract.
  • Good organizational, judgment, customer service, and both verbal and written communication skills.
  • Good spelling, punctuation, and grammar skills.
  • Basic math and computer skills.
  • Ability to handle confidential or sensitive information with discretion.


Required Software and Other Tools:

  • Microsoft Office.

We Prefer That You Have:
Preferred Work Experience:

  • 3 years-of applicable EDI experience.


Work Environment:

  • Typical office environment.

What We Can Do for You:

Our comprehensive benefits package includes:

·        401(k) retirement savings plan with company match

·        Subsidized health plans and free vision coverage

·        Life insurance

·        Paid annual leave - the longer you work here, the more you earn

·        Ten paid holidays

·        On-site cafeterias and fitness centers in major locations

·        Wellness programs and a healthy lifestyle premium discount

·        Tuition assistance

·        Service recognition

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications.  This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify with prioritization given to those candidates who demonstrate the preferred qualifications.



 

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Some states have required notifications. Here's more information

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

Total Dental Administrators Inc

Website: https://tdadental.com/

Headquarter Location: Phoenix, Arizona, United States

Employee Count: 101-250

Year Founded: 1995

IPO Status: Private

Industries: Dental ⋅ Health Care ⋅ Health Insurance ⋅ Insurance ⋅ Life Insurance