Responsible for the accurate and timely processing of claims.

Logistics:

This is a full-time & fully onsite position located in Columbia, South Carolina.

What You'll Do:

• Research 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.
• 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:

Required Education:

• High School Diploma or equivalent

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 Work Experience:

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

Preferred Skills and Abilities:

• Ability to use complex mathematical calculations.

Preferred Software and Other Tools:

• Proficient in word processing and spreadsheet applications.
• Proficient in database software.

Work Environment:

• Typical office or home environment.

What We can Do for You:

We offer our employees great benefits and rewards.  You will be eligible to participate in the benefits 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

• Wellness program and healthy lifestyle premium discount

• Tuition assistance

• Service recognition

• Employee Assistance

• Discounts to movies, theaters, zoos, theme parks and more

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications.  This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application.

Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.