Claims Processor I - Remote

Overview

The Claims Processor I is responsible for ensuring accurate and timely processing of insurance claims, including resolving edits and preparing claims for submission.

In Short

• Process insurance claims accurately and timely.
• Resolve EDI claim edits.
• Prepare paper claims for submission.
• Handle denied/unpaid claims promptly.
• Maintain account accuracy and follow up on outstanding claims.
• Use electronic billing systems effectively.
• Communicate with payers to resolve issues.
• Meet productivity and quality standards set by management.
• Work remotely with a flexible schedule.
• Maintain knowledge of payer rules and industry standards.

Requirements

• High school diploma required.
• One year of experience in billing and insurance follow-up preferred.
• General knowledge of insurance terminology and billing rules.
• Able to prioritize daily work tasks.
• Independent judgment in handling accounts.
• Knowledge of Epic preferred.
• Good communication skills.
• Ability to work in a fast-paced environment.
• Physical ability to perform job functions.
• Must maintain quality and productivity standards.

Benefits

• Remote work schedule available.
• Opportunity to work in a dynamic healthcare environment.
• Engaging team with enthusiastic individuals.
• Career opportunities in various fields within MUSC.
• Supportive work culture focused on employee growth.