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Medical Claims Processor Jobs in South Carolina

Claims Processor Ii (Part-Time)
By BlueCross BlueShield of South Carolina At Greenville, SC, United States
2 years of experience processing, researching, and adjudicating claims
Strong organizational, analytical and judgment skills
Strong oral and written communication skills
5 years-of experience processing and adjudicating claims
CES, CORDS, OR AMMS experience
Knowledge of mathematical and statistical concepts
Processor, Claims Ii Jobs
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Our Comprehensive Benefits Package Includes
401(k) retirement savings plan with company match
Fantastic health plans and free vision coverage
Paid annual leave — the longer you work here, the more you earn.
Onsite cafeterias and fitness centers in significant locations
Wellness programs and a healthy lifestyle premium discount
Claims Processor I (On-Site)
By BlueCross BlueShield of South Carolina At Florence, SC, United States
Strong analytical, organizational and customer service skills.
Strong oral and written communication skills.
Proficient spelling, punctuation and grammar skills.
One year-of experience in a healthcare or insurance environment
Research and process claims according to business regulation, internal standards and processing guidelines
Verifies the coding of procedure and diagnosis codes
Claims Processor I Jobs
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
1 year-of experience in a healthcare or insurance environment.
Our Comprehensive Benefits Package Includes
Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
High School Diploma or equivalent
Ability to use complex mathematical calculations.
Claims Processor Ii Jobs
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
2 years of experience processing, researching, and adjudicating claims
Strong organizational, analytical and judgment skills
Strong oral and written communication skills
Examine and process complex or specialty claims according to business/contract regulations, internal standards and examining guidelines
Enter claims into the claim system after verification of correct coding of procedures and diagnosis codes
Verify that claims have been keyed correctly
Claims Processor I Jobs
By BlueCross BlueShield of South Carolina At Florence, SC, United States
One year-of experience in a healthcare or insurance environment. Good verbal and written communication skills.
Keyboarding/typing and data entry skills
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.
Claims Processor Ii (Remote After Onsite Training)
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
2 years of experience processing, researching and adjudicating claims.
Our Comprehensive Benefits Package Includes
Must have high-speed internet (non-satellite) and a private space in your home for an office.
Work hours: 8:00 am to 4:30 pm Monday through Friday.
Ensures that claims are processing according to established quality and production standards. Corrects processing errors by reprocessing, adjusting, and/or recouping claims.
High School Diploma or equivalent

Are you looking for an exciting opportunity to join a fast-paced medical claims processing team? We are looking for a motivated individual to join our team and help us process medical claims quickly and accurately. If you have a passion for accuracy and a desire to help people, this could be the perfect job for you!

Overview A Medical Claims Processor is responsible for processing medical claims for insurance companies, healthcare providers, and other organizations. They review and verify patient information, process claims, and ensure that claims are paid accurately and on time. Detailed Job Description A Medical Claims Processor is responsible for processing medical claims for insurance companies, healthcare providers, and other organizations. They review and verify patient information, process claims, and ensure that claims are paid accurately and on time. They must be familiar with medical terminology and coding, and must be able to interpret insurance policies and regulations. They must also be able to communicate effectively with patients, providers, and insurance companies. Job Skills Required
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and regulations
• Ability to interpret and analyze medical claims
• Excellent communication and customer service skills
• Attention to detail and accuracy
• Ability to work independently and as part of a team
• Proficiency in computer software programs
Job Qualifications
• High school diploma or equivalent
• Previous experience in medical claims processing
• Certification in medical coding (preferred)
Job Knowledge
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and regulations
• Ability to interpret and analyze medical claims
Job Experience
• Previous experience in medical claims processing
• Experience working with medical billing software
Job Responsibilities
• Review and verify patient information
• Process medical claims
• Ensure that claims are paid accurately and on time
• Communicate with patients, providers, and insurance companies
• Resolve any discrepancies or issues with claims
• Maintain accurate records and documentation