Claims Processor South Carolina

Job Summary

To support the revenue cycle operations, the full-time Claims Processor South Carolina will determine medical insurance benefits, document claims processes, and resolve claims by approving or denying payments while working remotely.

Key responsibilities

• Update patient account information, process adjustments, and follow up on denied claims according to payer rules
• Utilize electronic billing systems to correct claims and manage outstanding denied or no response claims
• Maintain quality and productivity standards while keeping management informed of issues and trends

Required qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience
• Familiarity with medical billing and insurance processes
• Ability to use electronic billing systems and payer websites
• Understanding of federal insurance regulations and compliance