Part time
BlueCross BlueShield of South Carolina
Elgin, SC, USA
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. Description Logistics: Palmetto GBA- one of BlueCross BlueShield's South Carolina subsidiary companies. Type: Part-time (20 hours/week) Location: Must be within 60 miles of GPC office Key Details: 6-8 weeks on-site training required Schedule: 8:30 AM - 5:00 PM, Monday-Friday (workload dependent) Flexible lunch (30 minutes to 1 hour) Must come in every other week to pick up samples Equipment provided after training Responsibilities: Review durable medical equipment samples and applications Assign HCPCS Level 2 codes Work in workflow system Evaluate product applications Communicate with...


