South Carolina Claims Processor

Job Summary

A company is looking for a Claims Processor I.

Key Responsibilities

• Update account information, process adjustments, and follow up on denied claims according to departmental policies
• Utilize electronic billing systems to manage outstanding claims and correct missing or invalid information
• Research and resolve denied claims by communicating with third-party payers and gathering necessary information

Required Qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience
• Ability to maintain 95% quality standards on account follow-up
• Capability to meet productivity standards set by management
• Familiarity with payer rules and electronic billing systems is preferred