Provider Claims Customer Service Jobs in South Carolina

Identifies issues with procedures and processes and provides feedback to management on changes and development.

Continuing education funds for additional certifications and certification renewal

You will have to work on site as needed if remote access is granted.

Trains new employees and introduces new material to all employees. Develops, updates, and maintains procedural manuals.

High School Diploma or equivalent

401(k) retirement savings plan with company match

Knowledge of the benefit plans for each group.

Bachelor's degree OR 4 years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations.

2 years of claims/appeals, customer service, or call center experience.

Strong analytical, organizational, and judgement skills.

Strong oral and written communication skills.

Strong spelling, punctuation, and grammar skills.

Knowledge of the benefit plans for each group

Bachelor's degree or 4 years of healthcare experience in customer service, provider network service, membership, billing, and/or claims/appeals processing operations

2 years of claims/appeals, customer service, or call center experience

Strong analytical, organizational, and judgment skills

Strong oral and written communication skills

Strong spelling, punctuation, and grammar skills

Respond accurately and timely to inquiries from team members, including management, concerning customer inquiries, claims adjudication, appeals and other technical issues

Identify issues with procedures and processes and provides feedback to management on changes and development

Excellent verbal and written communication skills

Knowledge of claims processing procedures

Investigate and initiate resolutions to complex problems

Authorize payment recovery, claim payments, or makes claim rejections based on documented information and provisions of state or federal law

A proven curriculum providing the knowledge you need to excel.

Our Comprehensive Benefits Package Includes

Best-in-class call center training program.

Peer coach to observe you.

Peer coach for you to observe.

A training lab where you take live calls with a training supervisor close by to answer questions.

One year of medical claims experience.

Knowledge of Microsoft Office applications.

Our Comprehensive Benefits Package Includes

A high school diploma or equivalent.

Self-paced learning and instructor led training.

401(k) retirement savings plan with company match.