Medical Claims Specialist

2 days ago


Columbia, South Carolina, United States Washington Medical Supplies Full time
Job Summary

We are seeking a highly skilled Medical Billing Clerk to join our team at Washington Medical Supplies. As a Medical Billing Clerk, you will be responsible for coordinating all Medicare/Medicaid/Insurance billing and prior authorizations.

Key Responsibilities:

• Coordinate all insurance billing and prior authorizations under general supervision.
• Work with weekly and monthly reports for capped rental patients to send out purchase/rent letters to DMERC patients.
• Address all denial and billing issues with claims or the billing service used to bill Medicare/Medicaid/Insurance.
• Consult with supervisor regarding any billing problems.
• Adjust or credit accounts needing corrections equal to or lesser than $
• Coordinate collection accounts that need to be sent to the Organization's outside collection agency.

Requirements:

• High school diploma.
• Previous billing experience preferred.
• Analytical skills required.

What We Offer:

Washington Medical Supplies is a dynamic and growing organization that offers a competitive salary and benefits package. If you are a motivated and detail-oriented individual with a passion for medical billing, we encourage you to apply for this exciting opportunity.

  • Columbia, South Carolina, United States Columbia Orthopaedic Group Full time

    Job Title: Insurance Claims SpecialistColumbia Orthopaedic Group is seeking a highly skilled Insurance Claims Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for managing the entire lifecycle of insurance claims, from submission to resolution.Key Responsibilities:Verify patient insurance information and medical...


  • Columbia, South Carolina, United States Columbia Orthopaedic Group Full time

    Job Title: Insurance Claims SpecialistColumbia Orthopaedic Group is seeking a highly skilled Insurance Claims Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for managing the entire lifecycle of insurance claims, from submission to resolution.Key Responsibilities:Verify patient insurance information and medical...


  • Columbia, South Carolina, United States Columbia Orthopaedic Group Full time

    Job Title: Insurance Claims SpecialistColumbia Orthopaedic Group is seeking a highly skilled Insurance Claims Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for managing the entire lifecycle of insurance claims, from submission to resolution.Key Responsibilities:Verify patient insurance information and medical...


  • Columbia, South Carolina, United States Experis Full time

    Job Title: Medical Claims ReviewerExperis is seeking a skilled Medical Claims Reviewer to join our team. As a Medical Claims Reviewer, you will be responsible for conducting medical reviews using established criteria sets, performing utilization management of professional, inpatient or outpatient, facility benefits or services, and addressing appeals.Key...


  • Columbia, South Carolina, United States Experis Full time

    Job Title: Medical Claims ReviewerJob Summary:We are seeking a skilled Medical Claims Reviewer to join our team at Experis. As a Medical Claims Reviewer, you will be responsible for conducting medical reviews using established criteria sets, performing utilization management of professional, inpatient or outpatient, facility benefits or services, and...


  • Columbia, South Carolina, United States Midlands Neurology and Pain Associates, P.A. Full time

    Medical Billing Specialist Position Overview At Midlands Neurology and Pain Associates, P.A., we are seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing all aspects of billing, including accounts receivables, claims submission, and payment posting. You will work closely...


  • Columbia, South Carolina, United States Midlands Neurology and Pain Associates, P.A. Full time

    Medical Billing Specialist Job DescriptionMidlands Neurology and Pain Associates, P.A. is seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing all aspects of billing, including accounts receivables, claims submission, and payment posting.Key Responsibilities:Manage claim...


  • Columbia, South Carolina, United States Midlands Neurology and Pain Associates, P.A. Full time

    Medical Billing Specialist **Job Summary:** We are seeking a highly skilled Medical Billing Specialist to join our team at Midlands Neurology and Pain Associates, P.A. The ideal candidate will be responsible for managing all aspects of billing, including accounts receivables, claims submission, and payment posting. **Responsibilities:** * Manage claim...


  • Columbia, South Carolina, United States Hornet Staffing, Inc. Full time

    Medical Review Specialist **Job Summary** We are seeking a highly skilled Medical Review Specialist to join our team at Hornet Staffing, Inc. As a Medical Review Specialist, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility...


  • Columbia, South Carolina, United States Kelly Full time

    Job SummaryWe are seeking a skilled Claims Processing Professional to join our team at a premier client in Columbia, SC. As a Claims Processing Professional, you will be responsible for reviewing and adjudicating complex or specialty claims according to organizational policies and procedures.Key ResponsibilitiesReview and adjudicate complex or specialty...


  • West Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a skilled Claims Customer Service Advocate I 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.Key ResponsibilitiesRespond to customer inquiries...


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

    Why Choose BlueCross BlueShield of South Carolina?We're a trusted leader in the healthcare industry, with a rich history spanning over seven decades. Our roots are deeply embedded in the South Carolina community, and we're committed to providing exceptional service to our members.As a Claims Processor, you'll play a vital role in ensuring the accuracy and...


  • West Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a skilled Claims Customer Service Advocate I to join our team at BlueCross BlueShield of South Carolina. As a Claims Customer Service Advocate I, you will be responsible for responding to routine inquiries, identifying incorrectly processed claims, and completing adjustments and related reprocessing actions.Key...


  • Columbia, South Carolina, United States WNS Global Services Full time

    Job SummaryWe are seeking a highly skilled and bilingual Insurance Claims Representative to join our team at WNS Global Services. As a key member of our customer service team, you will be responsible for providing exceptional service to our clients and resolving insurance claims in a timely and efficient manner.Key ResponsibilitiesCustomer Service: Respond...

  • Claims Advocate

    2 weeks ago


    Columbia, South Carolina, United States Spectraforce Technologies Full time

    Job Title: Claims Customer Service Advocate IILocation: Columbia, SCDuration: 5+ months assignmentShift: Mon-Fri 7:45 am-4:15pmJob Summary:We are seeking a highly skilled Claims Customer Service Advocate II to join our team at Spectraforce Technologies. As a Claims Customer Service Advocate II, you will be responsible for responding to customer inquiries,...

  • Claims Advocate

    3 days ago


    Columbia, South Carolina, United States Spectraforce Technologies Inc Full time

    Job Title: Claims Customer Service Advocate ISpectraforce Technologies Inc is seeking a highly skilled Claims Customer Service Advocate I to join our team. As a Claims Customer Service Advocate I, you will be responsible for providing exceptional customer service and resolving claims in a timely and efficient manner.Key Responsibilities:Respond to Inquiries:...

  • Claims Advocate

    2 weeks ago


    Columbia, South Carolina, United States Spectraforce Technologies Inc Full time

    Job Title: Claims Customer Service Advocate ILocation: RemoteDuration: 12 months assignment (Contract to Perm)Shift: Monday- Friday, 7:30am-4:00pmAbout the Role:We are seeking a highly skilled Claims Customer Service Advocate I to join our team at Spectraforce Technologies Inc. As a Claims Customer Service Advocate I, you will be responsible for responding...

  • Claims Adjuster

    7 hours ago


    Columbia, South Carolina, United States Club Car Wash Full time

    Club Car Wash Career OpportunityWe are seeking a skilled Claims Agent to join our team at Club Car Wash, one of the fastest growing tunnel car wash companies in the United States. As a Claims Agent, you will play a critical role in reviewing and investigating property claims filed with our company, helping and assisting our customers with their needs,...


  • Columbia, South Carolina, United States Forhyre Full time

    Job Title: Claims Business AnalystWe are seeking a skilled Claims Business Analyst to join our team at Forhyre. As a Claims Business Analyst, you will play a vital role in supporting the successful completion of analytical, building, testing, and deployment tasks of our software product's features.This role will work collaboratively with the Director of...


  • Columbia, South Carolina, United States Forhyre Full time

    Job Title: Claims Business AnalystWe are seeking a skilled Claims Business Analyst to join our team at Forhyre. As a key member of our organization, you will play a vital role in supporting the successful completion of analytical, building, testing, and deployment tasks of our software product's features.This role will work collaboratively with the Director...