South Carolina Claims Processor

Job Summary

To ensure accurate and timely insurance claim processing, the full-time South Carolina Claims Processor will manage account maintenance, resolve denied claims, and utilize electronic billing systems while working remotely.

Key responsibilities

• Update registration, resolve authorization issues, and process adjustments for claims according to payer rules
• Follow up on outstanding denied claims by contacting third-party payers and gathering necessary information
• Maintain quality and productivity standards set by management while keeping them informed of operational trends

Required qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience
• Familiarity with electronic billing systems and payer rules
• Ability to maintain 95% quality standards on account follow-up
• Proficiency in researching and resolving claims issues