South Carolina Claims Processor

Job Summary

A company is looking for a Claims Processor.

Key Responsibilities

• Ensure accurate and timely processing of insurance claims, including resolving edits and submitting paper claims
• Utilize electronic billing systems to follow up on denied claims and correct missing or invalid information
• Communicate with third-party payers and gather necessary information to resolve outstanding claims

Required Qualifications and Education

• High school diploma required
• One year of experience in billing and insurance follow-up in a hospital or physician office preferred
• General working knowledge of insurance terminology and billing rules
• Knowledge of Epic preferred
• Able to prioritize work and exercise independent judgment in handling patient accounts