Top 5 Claims processor Jobs in South Carolina

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
3d
Claims Processor I
BlueCross BlueShield of South Carolina —Florence, SC
- Full-time
- Customer service
- Word processing
- Basic math
- Health insurance
- Dental insurance
11d
Credit Processor
MUSC —South Carolina
- Full-time
- Remote
- Mid-level
- Ability to climb stairs
- High school diploma or GED
Claims Payment Processor
Excela Protect —North Charleston, SC
- $38,000 - $41,000 a year
- Mid-level
- Office
- High school diploma or GED
- Paid training
- Paid holidays
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Claims Processor I
BlueCross BlueShield of South Carolina —Columbia, SC
Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
Claims Processor I-9
MUSC —South Carolina
Resolve medical claims by approving or denying, calculating benefit due and initiating payment or denial. Continuous professional and clinical training.
3d

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Claims Processor I-9

MUSC -
South Carolina

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Job Details

Full-time
3 days ago

Benefits

Paid parental leave
Disability insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
Flexible schedule
Life insurance
Referral program
Retirement plan

Qualifications

High school diploma or GED

Full Job Description

R-0000064503
Remote

South Carolina

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

Business Operations

Full Time

Job Description Summary

Determine covered medical insurance benefits in accordance with the provisions of the plan document. Document medical claims processes by completing forms, reports, logs and records. Resolve medical claims by approving or denying, calculating benefit due and initiating payment or denial. Ensure legal compliance by following company policies, procedures, guidelines, as well as federal insurance regulations.

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

Account maintenance: Updating registration, authorization issues, identifying charge correction, processing adjustments as needed and denial follow up according to payer rules and departmental policies.
Use electronic billing system appropriately to follow up on outstanding denied claims and all no response claims. Corrects claims in electronic billing system for missing or invalid insurance or patient information according to procedures, and places account on hold if you can't resolve
Follow up on denied or no response claims by calling third party payers or using payer websites. Gathering information from patients or other areas to resolve outstanding denied or no response claims. Researching accounts to take appropriate action necessary to resolve.
Keep management aware of issues and trends to enhance operations and escalates slow-pay issues to managerial level when necessary.
Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.
Maintains 95% quality standards on account follow and activity.
Maintains productivity standard as set forth by management team.
Other duties as assigned.

Education: High School Degree or Equivalent Work Experience: 0-6months

Additional Job Description

Benefits:

Health, dental, vision, and life insurance
Employer Sponsored Retirement Plan
Paid time off and extended sick leave
Paid Parental Leave
Disability insurance plan options
Continuous professional and clinical training
Competitive pay
Annual Merit Increase
Wellbeing resources
Tuition Reimbursement
Employee perks and discounts
Employee referral program
Flexible schedule options
Certification incentive program

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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claims processor jobs in south carolina

Claims Processor I-9

Claims Processor I

Credit Processor

Claims Payment Processor

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