Processor, Claims I

Processor, Claims I#26-10065 Columbia, SC

All On-site Job Description Duties:

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.

Skills:

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.

EEO:

"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."