South Carolina Claims Processor

Job Summary

Working remotely in a full-time capacity, the South Carolina Claims Processor will manage account maintenance, follow up on denied claims, and ensure compliance with payer rules while maintaining productivity and quality standards.

Key responsibilities

• Update patient accounts, process adjustments, and follow up on denied claims according to departmental policies
• Utilize electronic billing systems to resolve outstanding claims and maintain accurate account information
• Collaborate with team members to enhance workflows and provide feedback during team meetings

Required qualifications

• Associate's Degree preferred, with 2 years of billing and insurance follow-up experience, or 4 years in a hospital or physician office setting
• Thorough knowledge of insurance terminology, CPT coding, and billing rules
• Familiarity with Epic software preferred