Claims Processor in South Carolina

Job Summary

A company is looking for a Claims Processor I-4.

Key Responsibilities

• Determine covered medical insurance benefits and document medical claims processes
• Resolve medical claims by approving or denying claims and initiating payments or denials
• Maintain account accuracy and follow up on denied or no response claims using electronic billing systems

Required Qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience
• Familiarity with electronic billing systems and payer rules
• Ability to maintain quality and productivity standards as set by management
• Knowledge of federal insurance regulations and company policies