Medical Claims Processor I
1 week ago
Schedule: Monday-Friday, 8:00 AM-5:00 PM during Training
Location:8733 Highway 17 Bypass,Myrtle Beach
Pay:Weekly pay
- Research and processes claims according to business regulation, internal standards and processing guidelines.
- Verifies the coding of procedure and diagnosis codes.
- Resolve 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.
Required Skills and Abilities:
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.
Required Software and Tools:
Basic office equipment. Proficient in word processing and spreadsheet applications. Proficient in database software.
Required Education:
High School Diploma or equivalent
Required Work Experience:
1 year-of experience in a healthcare or insurance environment.
Preferred Skills and Abilities:
Ability to use complex mathematical calculations.
-
Medical Claims Processor I
1 week ago
Myrtle Beach, SC, United States Professional Management Enterprises Full timeHealthcare Claims Processor Ito be responsible for the accurate and timely processing of claims. Support the overall quality effectiveness to ensure that all claims are processed accurately and complete to ensure appropriate adjustment code usage, and payment rate.Schedule: Monday-Friday, 8:00 AM-5:00 PM during Training Location:8733 Highway 17 Bypass,Myrtle...
-
Medical Claims Processor I
2 weeks ago
Myrtle Beach, SC, United States Professional Management Enterprises Full timeHealthcare Claims Processor Ito be responsible for the accurate and timely processing of claims. Support the overall quality effectiveness to ensure that all claims are processed accurately and complete to ensure appropriate adjustment code usage, and payment rate.Schedule: Monday-Friday, 8:00 AM-5:00 PM during Training Location:8733 Highway 17 Bypass,Myrtle...
-
Claims Customer Service Advocate I
2 days ago
Myrtle Beach, SC, United States Mindlance Full timeDuties: 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 claims following organizational policies and procedures. • 40% Responds to written and/or telephone...
-
Claims Customer Service Advocate I
3 days ago
Myrtle Beach, SC, United States Mindlance Full timeDuties: 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 claims following organizational policies and procedures. • 40% Responds to written and/or telephone...
-
Claims Customer Service Advocate II
2 days ago
Myrtle Beach, SC, United States Professional Management Enterprises Full timeClaims Customer Service Advocate IIto be responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following...
-
Claims Customer Service Advocate II
1 week ago
Myrtle Beach, SC, United States US Tech Solutions Full timeDuration: 3+ Months Possible Contract (Possible Conversion) Job Description: 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 claims following organizational...
-
Claims Customer Service Advocate II
5 days ago
Myrtle Beach, SC, United States US Tech Solutions Full timeDuration: 3+ Months Possible Contract (Possible Conversion) Job Description: 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 claims following organizational...
-
Lead Plasma Processor
2 days ago
Myrtle Beach, SC, United States Grifols Shared Services North America, Inc Full timeWould you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and...
-
Lead Plasma Processor
4 days ago
Myrtle Beach, SC, United States Grifols Shared Services North America, Inc Full timeWould you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and...
-
Lead Plasma Processor
4 days ago
Myrtle Beach, SC, United States Grifols Shared Services North America, Inc Full timeWould you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and...
