Claims ProcessorI

Welcome to MUSC Health, where we are dedicated to providing high-quality, compassionate healthcare to our community. We are currently seeking a highly organized and detail-oriented individual to join our team as a Claims Processor. In this role, you will be responsible for reviewing and processing medical insurance claims to ensure accurate and timely reimbursement. The ideal candidate will have a strong background in healthcare billing and coding, exceptional attention to detail, and the ability to work efficiently in a fast-paced environment. If you are looking for a rewarding career in the healthcare industry, we encourage you to apply for this opportunity at MUSC Health.

1. Review and process medical insurance claims in a timely and accurate manner.
2. Ensure that all claims are coded correctly according to established guidelines.
3. Verify patient insurance coverage and benefits prior to processing claims.
4. Follow up on any denied or rejected claims and resubmit as necessary.
5. Maintain a high level of accuracy and attention to detail in all claim processing.
6. Collaborate with other departments to resolve any claim discrepancies or issues.
7. Utilize electronic medical record systems to process claims and maintain accurate records.
8. Stay up-to-date on changes in insurance regulations and coding guidelines.
9. Communicate with insurance companies and patients to resolve any claim disputes.
10. Identify and report any potential fraud or abuse in claims processing.
11. Maintain confidentiality of patient information and adhere to HIPAA guidelines.
12. Assist with training and mentoring new claims processing team members.
13. Participate in department meetings and provide input for process improvements.
14. Meet productivity and quality standards set by the organization.
15. Provide excellent customer service to patients and insurance companies regarding claims inquiries.

According to JobzMall, the average salary range for a Claims ProcessorI in Charleston, SC, USA is $38,000 - $45,000 per year. This can vary depending on factors such as experience, qualifications, and the specific company or organization the individual is employed by.