Claims Processor Position Available In Horry, South Carolina

Claims Processor Sumeru

INC 8733

Highway 17 Byp S, Myrtle Beach, SC 29575 Responsible for the accurate and timely processing of claims.

• 75% Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
• 20% Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
• 5% 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.

Preferred Software and Other Tools:

Proficient in word processing and spreadsheet applications. Proficient in database software.

Work Environment:

Typical office or home environment.

Required Education:

High School Diploma or equivalent

Required Work Experience:

None Preferred Work Experience:

1 year-of experience in a healthcare or insurance environment.

Preferred Skills and Abilities:

Ability to use complex mathematical calculations.

Job Types:

Full-time, Contract Pay:

$20.00 – $23.11 per hour Expected hours: 40 per week

Benefits:

Health insurance

Schedule:

8 hour shift Monday to Friday Ability to

Commute:

Myrtle Beach, SC 29575 (Preferred) Ability to

Relocate:

Myrtle Beach, SC 29575: Relocate before starting work (Preferred)

Work Location:

In person