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# Information Technology Specialist

- **Company:** BlueCross BlueShield of South Carolina
- **Location:** Columbia, SC, United States
- **Contract:** Permanent contract
- **Skills:** Microsoft Office, Information Technology
- **Published:** September 14, 2026
- **Apply:** https://diversityjobs.com/main/sendform/8/8/28176/1/18314460?backUrl=%2Fcareer%2F18314460%2FInformation-Technology-Specialist-South-Carolina-Columbia

## About the Role

* Required Education:Associate's
 * Degree Equivalency:2 years job related work experience
 * Required Work Experience:1 year administrative/clerical support.
 * Required Skills and Abilities:
 * Working knowledge of word processing software.
 * Strong analytical, organizational, and customer service skills.
 * Strong verbal and written communication skills.
 * Proficiency in spelling, punctuation, and grammar skills.
 * Good judgment skills.
 * Ability to handle confidential or sensitive information with discretion.
 * Required Software and Tools:Microsoft Office.

## Description

Summary Responsible for the maintenance of records and the processing of claims in medical review along with any and/or all of the following: processes ingoing/outgoing mail and prepares work for nursing staff. Troubleshoots claims prior to nurse review and after review. Monitors timeliness of claims processing and adjusts claims keyed incorrectly. Performs quality control of work processes. Description, Position Purpose:Responsible for the maintenance of records and the processing of claims in medical review along with any and/or all of the following: processes ingoing/outgoing mail and prepares work for nursing staff. Troubleshoots claims prior to nurse review and after review. Monitors timeliness of claims processing and adjusts claims keyed incorrectly. Performs quality control of work processes., * Processes denials of claims. Processes adjustment claims for both pre-pay and post-pay departments.

 * Investigates and analyzes adjustment claim history and denial records.
 * Prescreens records for review and maintains accurate records of all claims.
 * Communicates with provider community and assists provider service department in responding to inquiries. Generates educational correspondence to providers regarding denials.
 * Performs quality control of work processes.
 * Assists manager with special projects.


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