South Carolina Claims Processor - job 1 of 8

Job Summary

A company is looking for a Claims Processor I.

Key Responsibilities

• Ensure accurate and timely processing of insurance claims, including resolving edits and denied claims
• Maintain account records, update registrations, and process adjustments as necessary
• Follow up on denied or no response claims through communication with payers and research to resolve issues

Required Qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience
• Familiarity with electronic billing systems
• Ability to maintain quality and productivity standards set by management
• Knowledge of payer rules and changes through ongoing research