Claims Processor Ii

Medical University of South Carolina

Hourly; pyy grade health-21; not specified
2 years billing and insurance follow up experience
Thorough knowledge of cpt coding and billing rules
Experience resolving denied or unpaid insurance claims
The role involves ensuring accurate and timely insurance claim processing including resolving edits and paper claims for submission

Job Summary

  • The role involves ensuring accurate and timely insurance claim processing including resolving edits and paper claims for submission.
  • Candidates must maintain 95% quality standards on account follow-up while managing productivity metrics set by the management team.
  • The position requires independent judgment in handling patient accounts and collaborating with other processors to enhance workflows.

Matching Summary

The role involves ensuring accurate and timely insurance claim processing including resolving edits and paper claims for submission.

Salary

Hourly; Pay Grade Health-21; Not specified

Skills & Requirements

Must-have

  • 2 years billing and insurance follow up experience
  • Thorough knowledge of CPT coding and billing rules
  • Experience resolving denied or unpaid insurance claims

Nice-to-have

  • Knowledge of Epic electronic billing system preferred
  • Ability to serve as preceptor for team members
  • Energetic and enthusiastic team collaboration skills

Key Requirements

  • Associates Degree preferred with 2 years billing experience
  • 4 years of hospital or physician office billing experience required if no degree
  • Must have thorough working knowledge of insurance terminology

Work Rights

Not specified

Tailored Resume

Cover Letter