South Carolina Claims Processor

Job Summary

A company is looking for a Claims Processor I to ensure accurate and timely insurance claim processing.

Key Responsibilities

• Process and resolve insurance claims, including edits and denials, in a timely manner
• Maintain account information and follow up on outstanding denied claims using electronic billing systems
• Keep management informed of issues and trends to enhance operations and escalate slow-pay issues as necessary

Required Qualifications

• High School Degree or Equivalent
• 0-6 months of relevant work experience
• Ability to use electronic billing systems effectively
• Familiarity with payer rules and claims processing
• Commitment to maintaining quality and productivity standards