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. Business and political climates may change, but we’re stronger than ever. Our A.M. Best rating is A+ (Superior), making us the only health insurance company in South Carolina with that rating. We’re 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 allow 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!

Job Title: Associate, EDI Operations II

Position Details:

• Role is 100% Onsite - GPC - 17 Technology Cir, Columbia SC 29203
• Work Schedule/Hours: 8:30 AM – 5:00 PM, with rotational hours from 10:30 AM – 7:00 PM approximately 2-4 times per month. We call the later schedule our ‘late nights’ and all the associates rotate working that shift. A calendar when their scheduled days to work that shift is provided at least 1 month in advance. 

The Department: Technical support area that receives and processes data for Medicare Part C, Medicare Part D, and Medicare/Medicaid plans. Assist with enrollment, submission and edit resolution, guidance, etc.
Typically receives more emails than phone calls, conducts adhoc outreach; (no quotas to meet and not held to 1st call resolutions).
EDI – Electronic Data Interchange.

This is a call center position (inbound and outbound correspondence), so experience in that area is preferred (call center experience as well outside of Palmetto GBA/BCBSSC and technical support too).

Duties:

• 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.
• 60% 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 advice, inquiry/response for claims status/eligibility, enrollment, premium payment etc.), support of all current formats/transactions required by law/BCBSSC lines of business.
• 40% Responsible for the setup of all electronic transactions submission by processing enrollment applications, updating associated system files, and managing customer notification. 

Required Skills and Abilities: 

• Required Education: Associate Degree in Information Systems/Technology, Computer Science, or other job-related field OR 2 years of technical operations support experience or other applicable experience. 
• Required Work Experience: 2 years of applicable EDI experience. 
• Preferred Work Experience: 3 years-of applicable EDI experience.
• 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. Work Environment: Typical office environment.

Preferred Skills: 

• 2+ years of customer service experience.
• Call center experience.
• Familiarity with government contracts or previous/current work experience with Palmetto GBA or BCBSSC is also a plus.
• X12 claims data experience.

This is the pay range that Magnit reasonably expects to pay someone for this position is $17.34/hour - $23.12/hour. Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met).

BlueCross is a strong supporter of our veterans, and many service men and women have joined our ranks. We’ve found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. 

Through our government contracts, we also have employees serving at Shaw Air Force Base, the Naval Health Clinic in Charleston, the Naval Hospital in Beaufort and in our hometown of Columbia, S.C., at Ft. Jackson. If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty. If you're ready to join in a diverse company with secure, community roots and an innovative future, apply for a position now!