South Carolina Claims Processor - job 1 of 5

Job Summary

A company is looking for a Claims Processor I.

Key Responsibilities

• Process and resolve insurance claims, including edits and denials, ensuring timely submission
• Utilize electronic billing systems to follow up on outstanding claims and correct necessary information
• Communicate with third-party payers and gather information to resolve denied or no response claims

Required Qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience
• Ability to maintain quality and productivity standards as set by management
• Familiarity with payer rules and changes
• Willingness to perform additional duties as assigned