Claims Processor I - Remote Opportunity
Claims Processor I - Remote Opportunity
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Description Summary
High school diploma required. One year of billing and insurance follow up in a hospital or physician office setting preferred. Able to prioritize work on a daily basis. Requires independent judgement in handling patient accounts. Direct supervision available on a daily basis as conditions may require. General working knowledge of insurance terminology and billing rules. Knowledge of Epic preferred.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
Entity/Organization: MUSC Physicians (MUSCP)
Hours per week: 40
Scheduled Work Hours/Shift: Monday - Friday 8:00am - 5:00pm
Pay Basis/FLSA: Hourly/Non-Exempt
Remote Option:This position offers a remote work schedule
Job Summary/Purpose: Under general supervision the Claims Processor assures accurate and timely insurance claim production and processing including both resolving EDI claim edits and preparing paper claims for submittal/mailing. Resolve denied/unpaid insurance claims in a timely manner.
Required Minimum Training and Education:High school diploma required. One year of billing and insurance follow up in a hospital or physician office setting preferred. Able to prioritize work on a daily basis. Requires independent judgement in handling patient accounts. Direct supervision available on a daily basis as conditions may require. General working knowledge of insurance terminology and billing rules. Knowledge of Epic preferred.
Required Licensure Certifications Registrations:N/A
Additional Duties and Responsibilities:
- Account maintenance: Updating registration authorization issues identifying charge correction debit or credit memos 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 90% quality standards on account follow and activity.
- Maintains productivity standard as set forth by management team.
- Other duties as assigned
Physical Requirements: Continuous requirements are to perform job functions while standing walking and sitting. Ability to bend at the waist kneel climb stairs reach in all directions fully use both hands and legs possess good finger dexterity perform repetitive motions with hands/wrists/elbows and shoulders reach in all directions. Maintain 20/40 vision corrected see and recognize objects close at hand and at a distance work in a latex safe environment and work indoors. Frequently lift and/or carry objects weighing 20 lbs (/-) unassisted. Lift from 36 to overhead 15 lbs. Infrequently work in dusty areas and confined/cramped spaces.
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
Similar Jobs
Dr. Job is an online platform that connects employers with skilled job seekers, facilitating the search for job opportunities and top talent. Established in 2015. Dr. Job Pro has emerged as the world premier job portal, attracting thousands of job seekers every day from all over the world.
Follow Dr.Job
Dr Job FZ LLC. 2025 © All Rights Reserved