South Carolina Licensed Claims Processor

Job Summary

A company is looking for a Claims Processor II to manage account maintenance and follow up on denied claims.

Key Responsibilities

• Update registration, process adjustments, and follow up on denied claims according to payer rules
• Utilize electronic billing systems to resolve outstanding claims and correct missing or invalid information
• Maintain quality and productivity standards while collaborating with team members to enhance workflows

Required Qualifications

• Associate's degree preferred or equivalent experience in billing and insurance follow up
• Minimum of 2 years of billing and insurance follow up experience in a hospital or physician office setting
• Thorough knowledge of insurance terminology, CPT coding, and billing rules
• Knowledge of Epic preferred
• Ability to handle patient accounts with independent judgment