Summary
 

Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.

Description
 

Logistics:

• This is a full time (40 HPW) position. Our ideal candidate will work onsite at our Columbia, SC location.

What You Will Do:

• Research and process 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.

• Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

To Qualify for This Position, You'll Need the Following:

• High School Diploma or equivalent.

• 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.

• Proficient with basic office equipment.

• Proficient with Microsoft Office products.

We Prefer That You Have the Following:

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

• Ability to use complex mathematical calculations.

• Proficient in word processing and spreadsheet applications.

• Proficient in database software.

Our comprehensive benefits package includes the following:

We offer our employees great benefits and rewards.  You will be eligible to participate in the benefits on the first of the month following 28 days of employment.  

• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more! ​

What We Can Do for You: 

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have an opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What to Except Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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