Top 34 Claims processor grade Jobs

Credit Processor
MUSC —South Carolina
- Full-time
- Remote
- Mid-level
- Ability to climb stairs
- High school diploma or GED
Claims Processor 1
Zenith-American —San Francisco, CA
- $25.75 an hour
- Full-time
- Computer literacy
- Writing skills
- Basic math
- AD&D insurance
- Health insurance
Logistics Specialist - Rail
Louis Dreyfus Company —Claypool, IN
- Weekends as needed
- 5 years
- Merchandising
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Claims Processor 3
Zenith-American —San Francisco, CA
- $27.81 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Typing
- Health insurance
- Dental insurance
Claims Processor
Fifth Third Bank —Cincinnati, OH
- Full-time
- Microsoft Excel
- Basic math
- Office
Claims Processor I-9
MUSC —South Carolina
- Full-time
- Remote
- High school diploma or GED
- Experience equivalent to degree accepted
- Entry level
- Paid parental leave
- Disability insurance
4d
Claims Processor
Zenith-American —Tualatin, OR
- Full-time
- Computer literacy
- Writing skills
- Basic math
- AD&D insurance
- Health insurance
8d
Senior Consultant (Source Code Review)
Lumenci —Remote
- $80 - $100 an hour
- Part-time
- 3 years
- Analysis skills
- Travel
- Health insurance
- Dental insurance
Quick Apply
RN Med Policy Development/Research Specialist (UM experience) - REMOTE-AZ
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Nursing
- RN License
- Word processing
Claim Benefit Specialist
CVS Health —Connecticut
- $17.00 - $31.30 an hour
- Full-time
- Remote
- High school diploma or GED
- Fair chance
- Entry level
- Health insurance
- Dental insurance
3d
Distinguished Architect, Software Development – Claims Processing Platform
CVS Health —Austin, TX
- $175,100 - $334,750 a year
- Full-time
- Computer science
- Azure
- Computer Science
- Health insurance
- Dental insurance
8d
Bond Redemption - Operations Processor
U.S. Bank National Association —Cincinnati, OH
- $20.00 - $22.50 an hour
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Medical Claims Analyst
CVS Health —North Dakota
- $18.50 - $35.29 an hour
- Full-time
- Remote
- 5 years
- Mid-level
- Office
- Health insurance
- Dental insurance
1d
Operations Processor - Debit Fraud Case Processing
U.S. Bank National Association —Tempe, AZ
- $20.00 - $22.50 an hour
- Full-time
- Research
- Mid-level
- Office
- Paid holidays
- Disability insurance
4d
IT SPECIALIST (NETWORK)
US Immediate Office of the Chief of Naval Operations —Camp H M Smith, HI
- $111,119 - $144,457 a year
- Overtime
- Pass drug screening
- System design
- Supervising experience
Application Engineer
Steel Dynamics, Inc. —Columbus, MS
- Full-time
- Inventory management
- Bachelor of Science
- Mid-level
Teller
US Defense Commissary Agency —Hickam AFB, HI
- $38,011 - $49,417 a year
- Overtime
- Background check
- 18 years or older
- Pass drug screening
8d
Claims Processor I
MUSC —South Carolina
- Full-time
- Remote
- High school diploma or GED
- Experience equivalent to degree accepted
- Entry level
22h
Compliance Dairy Process Improvement Coordinator - Internal
State of Washington Dept. of Agriculture —Kittitas County, WA
- $74,748 - $100,488 a year
- Online Application
- Background check
- Writing skills
- Mid-level
- Paid holidays
- Flexible spending account
7d
Specialist, Quality Outside Processing
ArcelorMittal US —Calvert, AL
- Extended hours
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- AD&D insurance

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Credit Processor

MUSC -
South Carolina

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Job Details

Full-time

Qualifications

High school diploma or GED

Full Job Description

R-0000064189
Remote

South Carolina

Patient Access, Records, Health Information, Medical Records & Coding

Business Operations

Full Time

Job Description Summary

MUSC serves all South Carolinians through education, research, and patient care. MUSC is South Carolina’s only integrated academic health sciences center and largest non-federal employer in Charleston.

Entity

MUSC Community Physicians (MCP)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC004513 MCP - Revenue Cycle

Pay Rate Type

Hourly

Pay Grade

Health-20

Scheduled Weekly Hours

Work Shift

Job Description

Entity/Organization: MUSC Physicians (MUSCP)

Hours per week: 40

Scheduled Work Hours/Shift: Monday - Friday 8:00am - 5:00pm

Pay Basis/FLSA: Hourly/Non-Exempt

Remote Option: This position offers a remote work schedule

Job Summary/Purpose:

The Credit Processor diligently follows the workflows established to properly research, analyze and resolve undistributed and credit transactions within the EPIC system. Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc.). Will use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. to verify insurance, patient, and guarantor information. Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly. Note accounts with actions taken. The ability to be accountable, adaptable and flexible to changes to processes, assigned tasks and meet set deadlines.

Required Minimum Training and Education: High school diploma and one-year revenue cycle work experience required. Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances, and Epic system knowledge helpful. Must have excellent organizational, analytical, and communication skills. Desired candidates are dependable; team focused, goal-oriented individuals with a strong work ethic and positive attitude.

Degree of Supervision: Must be able to work independently under the direction of the Department Supervisor and Manager.

Required Licensure, Certifications, Registrations: N/A

Job Duties and Responsibilities:

Undistributed/Overposted (credit) transactions. Process undistributed and credit transactions through assigned work queues or reports according to department’s workflows. Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc). Use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. Verify insurance, patient, and guarantor information. Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly. Note accounts with actions taken.
Completed Contribution Average. Maintain department’s current Completed Account Contribution totals daily, weekly, monthly. (Productivity)
Audits. Maintain >=97% accuracy rate on audit reviews.
HPF Insurance Refund Request Letters WQs. Review and process weekly to ensure resolution is met prior to deadlines stated in the request letters and/or set workflows and regulations.
Returned Refunds-Credit Processors will review; verify information pertaining to the reason of the return and/or consult with other departments when their refunds are returned for resolution. Process the cancelations to repost, reissue, and apply to escheatment or MISC Income for resolution.

Physical Requirements: Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift and/or carry objects weighing 20 lbs (+/-) unassisted. Lift from 36” to overhead 15 lbs. Infrequently work in dusty areas and confined/cramped spaces.

Additional Job Description

High school diploma and one-year revenue cycle work experience required. Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances, and Epic system knowledge helpful. Must have excellent organizational, analytical, and communication skills. Desired candidates are dependable; team focused, goal-oriented individuals with a strong work ethic and positive attitude.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

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Refine Your Search

claims processor grade jobs

Credit Processor

Claims Processor 1

Logistics Specialist - Rail

Claims Processor 3

Claims Processor

Claims Processor I-9

Claims Processor

Senior Consultant (Source Code Review)

RN Med Policy Development/Research Specialist (UM experience) - REMOTE-AZ

Claim Benefit Specialist

Distinguished Architect, Software Development – Claims Processing Platform

Bond Redemption - Operations Processor

Medical Claims Analyst

Operations Processor - Debit Fraud Case Processing

IT SPECIALIST (NETWORK)

Application Engineer

Teller

Claims Processor I

Compliance Dairy Process Improvement Coordinator - Internal

Specialist, Quality Outside Processing

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