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 ...
Summary. Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within mandated timeframes and in compliance with applicable regulations or standards. Description. Logistics. CGS-one of BlueCross BlueShield's South Carolin...
Summary. As a member of the DMEPOS (Durable Medical Equipment Prosthetics, Orthotics and Supplies) team you will provide education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary. You will develop and produce all training and educational materials for virtual and onsite training classes. Description. Logistics. CGS (cgsadmin.com). . one of BlueCross BlueShield's South Carolina subs...
Summary. Provides blended learning solutions and the use of innovative technology and tools to meet business goals. Responsible for training, developing and coaching activities in various areas. This includes the analysis, design, delivery, evaluation and maintenance required to manage the on-going execution of training programs and expected outcomes. Description. Logistics. (cgsadmin.com), one of BlueCross BlueShield's South Carolina subsidiary ...
Summary. CGS Administrators, LLC (CGS) is part of BCBSSC's Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide. This is an onsite full-time position located at 26 Century Blvd., Ste. ST610 Nashville, TN 37214-3685. If you have IT B...
Summary. CGS Administrators, LLC (CGS) is part of BCBSSC's Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide. This is an onsite full-time position located at 26 Century Blvd., Ste. ST610 Nashville, TN 37214-3685. If you have IT B...
Summary. CGS Administrators, LLC (CGS) is part of BCBSSC's Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide. This is an onsite full-time position located at 26 Century Blvd., Ste. ST610 Nashville, TN 37214-3685. If you have IT B...
Summary. Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description. Logistics. CGS (cgsadmin.com). . one of BlueCross BlueShield's South Carolina subsidiary companies. Location. This position is full-time (40-hours/week) Monday-Friday in a typical office enviro...
Summary. Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description. Logistics. CGS (cgsadmin.com). . one of BlueCross BlueShield's South Carolina subsidiary companies. Location. This position is full-time (40-hours/week) Monday-Friday in a typical office enviro...
Summary. Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description. Logistics. CGS (cgsadmin.com). . one of BlueCross BlueShield's South Carolina subsidiary companies. Location. This position is full-time (40-hours/week) Monday-Friday in a typical office enviro...
Summary. Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description. Logistics. CGS (cgsadmin.com). . one of BlueCross BlueShield's South Carolina subsidiary companies. Location. This position is full-time (40-hours/week) Monday-Friday in a typical office enviro...
