Medical Claims Processor

Responsible for the accurate and timely processing of claims. * 75% Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. * 20% Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. * 5% Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

Required Skills and Abilities: Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills. Required Software and Tools: Basic office equipment. Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications. Proficient in database software. Work Environment: Typical office or home environment.

Required Education: High School Diploma or equivalent Required Work Experience: None Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment. Preferred Skills and Abilities: Ability to use complex mathematical calculations.

Job Type: Full-time

Pay: $20.00 - $22.68 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• ICD-10: 1 year (Preferred)

Ability to Commute:

• Florence, SC 29501 (Required)

Ability to Relocate:

• Florence, SC 29501: Relocate before starting work (Required)

Work Location: Hybrid remote in Florence, SC 29501

Salary : $20 - $23