Processor, Claims I

About the role

Responsible for the accurate and timely processing of claims.

Responsibilities

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

Location

This role is located on-site at 2141 West Gate, Florence, SC, 29501

Schedule

Full-time (40-hours/week) Monday–Friday from 8 am–5 pm in a typical office environment.

Requirements

• High School Diploma or equivalent
• 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
• Basic office equipment

Preferred Qualifications

• 1 year of experience in a healthcare or insurance environment
• Ability to use complex mathematical calculations
• Proficient in word processing and spreadsheet applications
• Proficient in database software

Benefits

• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more