South Carolina Claims Processor

Job Summary

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

Key responsibilities

• Update patient registration, resolve authorization issues, and process adjustments according to payer rules
• Utilize electronic billing systems to follow up on outstanding denied claims and correct missing or invalid information
• Research and resolve denied or no response claims by contacting third-party payers and gathering necessary information

Required qualifications

• High School Diploma or equivalent
• 0-6 months of relevant work experience
• Familiarity with electronic billing systems and payer rules
• Ability to maintain quality and productivity standards set by management
• Strong research skills for resolving claims issues