Medical Claims Processor

5 days ago


Florence, Colorado, United States HopeHealth, Inc. Full time
Job Title: Billing Specialist

HopeHealth, Inc. is seeking a skilled Billing Specialist to join our team. As a Billing Specialist, you will play a critical role in ensuring the accuracy and efficiency of our healthcare claims processing.

Key Responsibilities:
  • Validate the accuracy of claim information to ensure timely and effective billing and follow-up activities.
  • Apply approved adjustments to accounts according to departmental and company policy.
  • Scrub claims for errors, mark corrections, and file electronic and hard copy claims daily.
  • Process daily mail and direct correspondence related to open accounts to secure payment.
  • Provide assistance to other department staff with patient payments, adjustments, remittance advises, and other correspondence.
  • Receive incoming calls from patients and/or insurance companies, answer questions, and provide information in a courteous and cooperative manner.
Requirements:
  • High School Diploma or GED required; Associates degree in a related field preferred.
  • 1-2 years of medical billing and follow-up experience desired.
  • CPC and/or CPB or similar certification highly desired but not required.
  • eClinicalWorks experience preferred.
  • Proficient with Microsoft Office Suite, specifically Excel, Word, and PowerPoint.
  • Advance and current working knowledge of ICD-10, CPT, and HCPCS codes.
  • Current knowledge of insurance payer coding and reimbursement guidelines.
Physical Requirements:
  • Ability to communicate in the dominant language of the geographic region.
  • Ability to lift 30 pounds.
  • Corrected vision and hearing.

  • Claims Processor

    19 hours ago


    Florence, Colorado, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a skilled Claims Processor to join our team at BlueCross BlueShield of South Carolina. As a Claims Processor, you will be responsible for the accurate and timely processing of claims, ensuring that all necessary information is verified and processed according to business regulations, internal standards, and processing guidelines.Key...


  • Florence, Colorado, United States Gpac Full time

    Personal Injury Attorney OpportunityWe are seeking a skilled and experienced Personal Injury Attorney to join our team in South Carolina. This opportunity is based out of our Spartanburg, SC office and offers the chance to work alongside a dedicated team of legal professionals.Our firm has provided exceptional legal representation to thousands of injured and...


  • Florence, Colorado, United States Holcim (US) Full time

    About the RoleThe Human Resources Coordinator plays a vital role in supporting the HR Director/Manager and line managers as a business partner. This position is responsible for a wide range of key HR initiatives in support of the business.Key ResponsibilitiesProvides general coaching to frontline supervisors on employee relations matters.Conducts...

  • Project Manager

    5 days ago


    Florence, Colorado, United States AESC Group Full time

    About AESC GroupAESC Group is a leading global organization committed to solving the challenges of a sustainable future and becoming the leading supplier of full-value-chain battery solutions.Our lithium-ion batteries can be found in nearly one million electric vehicles worldwide and have a stellar safety record of zero-critical issues.We design and...


  • Florence, South Carolina, United States HopeHealth Inc Full time

    Job DescriptionOverview of the Position:We are seeking a highly skilled Billing Specialist to join our team at HopeHealth Inc. The successful candidate will be responsible for processing healthcare claims to obtain reimbursement from insurance companies and government healthcare programs.Key Responsibilities:Validate the accuracy of claim information to...

  • Claims Examiner

    3 weeks ago


    Florence, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Claims Processor I Job DescriptionWe are currently hiring for a Claims Processor I to join our team at BlueCross BlueShield of South Carolina. As a Claims Processor I, you will be responsible for the accurate and timely processing of claims. This role requires strong analytical and problem-solving skills, as well as excellent communication and organizational...

  • Claims Specialist

    3 weeks ago


    Florence, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Claims Processor I OpportunityWe are currently hiring for a Claims Processor I to join BlueCross BlueShield of South Carolina. As a key member of our team, you will be responsible for the accurate and timely processing of claims. This role is ideal for individuals who are detail-oriented, organized, and possess excellent communication skills.Key...

  • Claims Examiner

    3 weeks ago


    Florence, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a skilled Claims Processor II to join our team at BlueCross BlueShield of South Carolina. As a Claims Processor II, you will play a critical role in reviewing and adjudicating complex or specialty claims, ensuring that they are processed in accordance with organizational policies and procedures.Key ResponsibilitiesExamine and...


  • Florence, South Carolina, United States Davies Group Full time

    About the RoleDavies Group is seeking an experienced Workers' Compensation Claims Supervisor to join our growing team. As a Claims Supervisor, you will play a critical role in ensuring the quality and efficiency of our claims handling process.Key ResponsibilitiesSupervise a team of adjusters, nurse case managers, and team assistants to ensure timely and...


  • Florence, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a Claims Customer Service Advocate to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for responding to routine inquiries, identifying incorrectly processed claims, and completing adjustments and related reprocessing actions. You will also review and adjudicate claims and/or non-medical...


  • Florence, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a highly skilled Claims Customer Service Representative to join our team at BlueCross BlueShield of South Carolina. As a Claims Customer Service Representative, you will be responsible for providing exceptional customer service to our members, responding to routine inquiries, and resolving claims-related issues in a timely and...


  • Florence, United States BlueCross BlueShield of South Carolina Full time

    Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay Customer Service, Claims, Advocate, Processing, Service, Retail, Healthcare


  • Florence, United States Davies Group Full time

    About Us At Davies, we get it... you are not just looking for a job, you are looking to build a life and a career. We believe in our people and realize that our success is a direct result of creating a learning atmosphere, leadership opportunities, and promoting from within. We believe that engaging in corporate social activities and working...


  • Florence, South Carolina, United States Global Medical Staffing Full time

    Global Medical Staffing is seeking a Board Certified or Board Eligible Medical Doctor with or without US residency and current US work visa for a Hospitalist physician employment opportunity in South Carolina. Responsibilities: * Must have active state license * BC required * 12-hour shifts, Swings * Patient encounters per shift * Consultation, admission...

  • Hospitalist

    1 day ago


    Florence, United States Global Medical Staffing Full time

    Hospitalist physician job in South Carolina : Global Medical Staffing - To get this new adventure started, pick up the phone and call us today.Must have active state licenseBC required12-hour shifts, Swings15 - 20 patient encounters per shiftConsultation, admission and transferCredentialing neededDEA neededCompetitive compensationPre-paid travel and...

  • Emergency Medicine

    1 day ago


    Florence, United States Global Medical Staffing Full time

    Emergency Medicine physician job in South Carolina : Global Medical Staffing - Ready to start an exhilarating experience in healthcare? Pick up the phone and call us today.Must have active state licenseBC requiredNights, FlexibleAverage of 190 visits per day in EDAll emergency medicine procedures are required, comfortable with all ages is a...


  • Florence, South Carolina, United States GLOBAL MEDICAL STAFFING Full time

    Job Opportunity for OtolaryngologistWe are seeking a skilled Otolaryngologist to join our team at Global Medical Staffing for a locum tenens opportunity in South Carolina.Job Details:Medical Specialty: OtolaryngologyLocation: Florence, SCType: TravelRequirements:Active state licenseBoard Certification (BC) or Board Eligibility (BE)Call onlyCredentialing...


  • Florence, United States Global Medical Staffing Full time

    To get this new adventure started, pick up the phone and call us today.Must have active state licenseBC requiredCall, Weekend call15 - 20 consults per dayCredentialing neededDEA neededCompetitive compensationPre-paid travel and housingPaid AAA-rated claims made malpracticeLicensing assistance and cost reimbursementMember of NALTO


  • Florence, United States Global Medical Staffing Full time

    Ready to start an exhilarating experience in healthcare? Pick up the phone and call us today.Must have active state licenseBC requiredNights, FlexibleAverage of 190 visits per day in EDAll emergency medicine procedures are required, comfortable with all ages is a requirementCredentialing neededDEA neededCompetitive compensationPre-paid travel and housingPaid...


  • Florence, United States Global Medical Staffing Full time

    Looking to reconnect and extend your personal and professional world? Just pick up the phone to get all the details of this assignment.Must have active state licenseBC requiredDays, 12-hour shifts, No callNeurohospitalist positionAverage of 5 - 10 patients per dayInpatient consults only, no EEG reads, NCV or tPA or EMGCredentialing neededDEA...


  • Florence, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a highly skilled Customer Service Advocate to join our team at BlueCross BlueShield of South Carolina. As a Customer Service Advocate, you will be responsible for providing exceptional customer service to our members, responding to routine inquiries, and resolving complex claims and appeals in a timely and professional manner.Key...


  • Florence, South Carolina, United States The Arora Group Full time

    About the RoleWe are seeking a highly skilled Radiologic Technologist to join our team at The Arora Group. As a Radiologic Technologist, you will play a critical role in providing high-quality medical imaging services to our patients.Key ResponsibilitiesPerform conventional radiology imaging of patients, including chest radiography to screen for...


  • florence, United States Sport Clips Full time

    Sport Clips Haircuts is Hiring Hair Stylists! Do What You Love. Love What You Do.JOB DESCRIPTIONOur salon in Florence is looking for talented hair stylists who are passionate about cutting hair and making their clients look great! Our team is dedicated to exceptional customer service and building up a large client base, and the ideal candidate for this role...


  • Florence, United States Sport Clips Full time

    Sport Clips Haircuts is Hiring Hair Stylists! Do What You Love. Love What You Do.JOB DESCRIPTIONOur salon in Florence is looking for talented hair stylistswho are passionate about cutting hair and making their clients look great! Our team is dedicated to exceptional customer service and building up a large client base, and the ideal candidate for this role...