Claims Processor I-13
Claims Processor I-13
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Job Description
Job Description Summary
Determine covered medical insurance benefits in accordance with the provisions of the plan document. Document medical claims processes by completing forms reports logs and records. Resolve medical claims by approving or denying calculating benefit due and initiating payment or denial. Ensure legal compliance by following company policies procedures guidelines as well as federal insurance regulations.Entity
Medical University Hospital Authority (MUHA)Worker Type
EmployeeWorker Sub-Type
RegularCost Center
CC005226 SYS - HB Support ServicesPay Rate Type
HourlyPay Grade
Health-20Scheduled Weekly Hours
40Work Shift
Job Description
- Account maintenance: Updating registration authorization issues identifying charge correction processing adjustments as needed and denial follow up according to payer rules and departmental policies.
- Use electronic billing system appropriately to follow up on outstanding denied claims and all no response claims. Corrects claims in electronic billing system for missing or invalid insurance or patient information according to procedures and places account on hold if you cant resolve.
- Follow up on denied or no response claims by calling third party payers or using payer websites. Gathering information from patients or other areas to resolve outstanding denied or no response claims. Researching accounts to take appropriate action necessary to resolve.
- Keep management aware of issues and trends to enhance operations and escalates slow-pay issues to managerial level when necessary.
- Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.
- Maintains 95% quality standards on account follow and activity.
- Maintains productivity standard as set forth by management team.
- Other duties as assigned.
Additional Job Description
Education: High School Degree or Equivalent Work Experience: 0-6monthsIf you like working with energetic enthusiastic individuals you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race color religion or belief age sex national origin gender identity sexual orientation disability protected veteran status family or parental status or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program please click here:
Employment Type
Full-Time
Key Skills
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