Palmetto GBA

1 open remote positions

Palmetto GBA is a healthcare administrator and one of the nation's largest medical claims processors. As part of BlueCross BlueShield of South Carolina, we've served clients for 70+ years and offer training and tuition assistance.

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401(k) (1) Dental (1) Employee Discounts (1) Health Insurance (1) Life Insurance (1) PTO (1) Tuition Reimbursement (1) Vision (1)

Medical Reviewer

14 hours ago

Perform medical reviews and utilization management to determine medical necessity for services and appeals.
Evaluate medical records and document decisions using clinical guidelines and protocol sets.
Educate members, providers, and staff on coverage determinations, medical terminology, and coding procedures.

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Open Positions

Medical Reviewer