Claims Processor - South Carolina

Job Summary

To ensure accurate and timely insurance claim processing, the full-time Claims Processor - South Carolina will resolve claim edits, manage denied claims, and maintain account updates while working remotely.

Key responsibilities

• Process and resolve insurance claims, including denied or unpaid claims, in accordance with payer rules and departmental policies
• Utilize electronic billing systems to follow up on outstanding claims and correct any missing or invalid information
• Communicate with third-party payers and patients to gather necessary information for claim resolution and escalate issues as needed

Required qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience in claims processing or healthcare
• Familiarity with insurance claim procedures and payer rules
• Ability to maintain quality and productivity standards set by management
• Proficiency in using electronic billing systems and payer websites