South Carolina Claims Processor - job 1 of 4

Job Summary

A company is looking for a Claims Processor I to ensure accurate and timely insurance claim processing.

Key Responsibilities

• Maintain accounts by updating registrations, resolving authorization issues, and processing adjustments for denied claims
• Utilize electronic billing systems to follow up on outstanding denied claims and correct claims as necessary
• Research and resolve outstanding denied or no response claims by communicating with third-party payers and gathering required information

Required Qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience
• Familiarity with insurance claim processing and payer rules
• Ability to maintain quality and productivity standards as set by management
• Willingness to learn and adapt to changes in payer rules and procedures