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Kudzu Staffing
Medical Authorization Representative
Career Insights for Medical Claims Processor / Representative
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Based on South Carolina data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$45,209 / year median in South Carolina
-3% projected decline
Job Description
Medical Authorization Representative Kudzu Staffing - 4.1 Columbia, SC Job Details Full-time From $20 an hour 1 hour ago Qualifications Customer communication Overseeing health insurance pre-certification Electronic health records (EHR) management Medical insurance coverage verification HIPAA High school diploma or GED Health information regulatory compliance Productivity software Medical terminology Full Job Description Kudzu Staffing is currently seeking an experienced Medical Authorization Representative to fill an onsite position at a healthcare facility in Columbia, SC. The ideal candidate will have a strong administrative background in medical insurance and authorizations, excellent communication skills, and the ability to work in a fast-paced environment. This is a full-time, onsite position offering competitive pay of $20 per hour , based on experience. Requirements of the Medical Authorization Representative High School diploma or equivalent (GED) Minimum of 1-2 years of experience in medical insurance verification and authorizations Strong knowledge of medical terminology and insurance processes Familiarity with HIPAA regulations and healthcare compliance Proficient in using EMR systems and Microsoft Office Suite Excellent verbal and written communication skills Strong organizational and time management abilities Ability to pass a background check and drug screening Benefits of the Medical Authorization Representative Competitive hourly pay ($20 hour) Stable, full-time hours (Mon-Fri, no weekends!) Supportive and team-oriented work environment Responsibilities of the Medical Authorization Representative Obtain prior authorizations from insurance providers for medical procedures, treatments, and medications Verify insurance coverage and eligibility for patients before scheduled services Communicate with healthcare providers, patients, and insurance companies to gather required documentation Track and follow up on outstanding authorizations to ensure timely approvals Enter and maintain accurate patient records in the EMR system Resolve any insurance authorization issues or denials proactively Collaborate with billing and clinical teams to ensure accurate and timely claims submission Provide exceptional customer service and act as a liaison between patients and providers Interested in joining a dedicated team that values quality care and professionalism? Apply now and be part of Kudzu Staffing's mission to deliver excellence in healthcare support across South Carolina!