Claims Processor

At MUSC Health, our Claims Processor is a critical role in ensuring our organization's financial security. We are looking for a detail-oriented, proactive, and organized individual to join our team and take on this important responsibility. The successful candidate will have a strong understanding of medical billing and coding, excellent communication and problem-solving skills, and a commitment to delivering excellent customer service to our patients. To be considered for this role, you must have a high school diploma or equivalent, as well as at least one year of experience in medical billing or coding. Experience with electronic medical records is a plus. You must also have a working knowledge of computers and be able to navigate multiple software programs with ease. Finally, you must have a passion for accuracy and a commitment to meeting deadlines.

Responsibilities:

1. Process medical claims in accordance with MUSC Health policies and procedures.
2. Monitor and maintain accurate records of all claims processed.
3. Communicate with insurance companies to ensure timely payment of claims.
4. Perform regular audits of all claims to ensure accuracy and completeness.
5. Resolve any discrepancies in medical coding and billing.
6. Answer customer inquiries related to medical claims and billing.
7. Assist in the development and implementation of procedures and protocols related to medical billing and coding.
8. Maintain patient confidentiality in accordance with HIPAA regulations.
9. Provide excellent customer service to patients and their families.
10. Utilize electronic medical records systems for efficient claims processing.

According to JobzMall, the average salary range for a Claims Processor in Charleston, SC, USA is between $29,000 and $37,000 per year. This range may vary depending on the skills, experience, and qualifications of the individual.