Skip to main content

Medical Claims Specialist Jobs in South Carolina

Currently, there are no Medical Claims Specialist jobs available in South Carolina which match this search. You may wish to explore similar job titles on the Healthcare jobs in South Carolina page or view related jobs below.
Here are some related jobs:
Job Description: Kudzu Medical is seeking an experienced Accounts Receivable/ Insurance Specialist to join our team! Accepting resumes and interviewing now! Apply today! Great pay! Weekly, direct deposit! 1. Prepares and submits clean claims to various insurance companies either electronically or by paper 2. Answers questions from patients, clerical staff and insurance companies. 3. Identifies an...
Job Description: Kudzu Medical is seeking an experienced, professional billing specialist to join our team! 1. Prepares and submits clean claims to various insurance companies either electronically or by paper. 2. Answers questions from patients, clerical staff and insurance companies. 3. Identifies and resolves patient billing complaints. 4. Prepares, reviews and sends patient statements. 5. Eva...
Job Description: Kudzu Medical is seeking an experienced Accounts Receivable/ Insurance Specialist to join our team! Accepting resumes and interviewing now! Apply today! Great pay! Weekly, direct deposit! 1. Prepares and submits clean claims to various insurance companies either electronically or by paper. 2. Answers questions from patients, clerical staff and insurance companies. 3. Identifies a...
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
We are currently seeking professional employees with strong administrative skills to support our healthcare advisory division. This position consists of a structured training program that teaches employees how to research and resolve outstanding medical claims and document their progress throughout the life of the claims corrections process until the claim can be re-filed. This is an excellent en...
BMH PHYS PART ADMIN BILLING/CODING SPECIALIST Category: Administrative/Clerical Support Facility: Beaufort Memorial Hospital Department: BMH PHYS PART ADMIN Schedule: full time Shift: Monday through Friday Hours: 8-5 Job Details: Position Summary Processes and posts transactions involving CPT and ICD-10 codes for procedures and surgeries. Daily charge entry required. Review Physician reco...
Position Summary Processes and posts transactions involving CPT and ICD-10 codes for procedures and surgeries. Daily charge entry required. Review Physician records to include office and hospital documentation to insure all charges are accounted for. Follow up with Physicians regarding any incomplete charts, missing charges and erroneous entries for corrections to insure accurate coding. Complete ...
Job Summary Manages submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members and related outside agencies as a part of the integrated Healthcare Services Team. Conducts pertinent research, evaluates, responds and completes appeals and other inquiries accurately, timely and in accordance with all established regulatory guidelines. Prepares appeal summar...
Job Summary Manages submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members and related outside agencies as a part of the integrated Healthcare Services Team. Conducts pertinent research, evaluates, responds and completes appeals and other inquiries accurately, timely and in accordance with all established regulatory guidelines. Prepares appeal summar...
We are currently recruiting for 120 Site Coordinator positions located in Fort Mill, SC and the interviews will be conducted in early September with a start date of October 3rd.�� The training will begin on October 3rd with a Monday-Friday 8:30-4:00 schedule, but in January these positions require some flexibility between 8:00AM-8:00PM with unlimited overtime available. POSITION SUMMARY Under cl...
Responsible for the maintenance of records and the processing of claims in medical review and processes ingoing/outgoing mail and/or prepares work for nursing staff. Troubleshoots claims prior to nurse review and after review. Monitors timeliness of claims processing and adjusts claims keyed incorrectly. Performs quality control of work processes. Required Education Associate degree in any major o...
Responsible for the maintenance of records and the processing of claims in medical review. Processes ingoing/outgoing mail and prepares work for nursing staff. Troubleshoots claims prior to nurse review and after review. Monitors timeliness of claims processing and adjusts claims keyed incorrectly. Performs quality control of work processes. . Required Education Associate degree in any major or t...
JOB SUMMARY: Vacancy ID: 1642031 OUR MISSION: To fulfill President Lincolns promise To care for him who shall have borne the battle, and for his widow, and his orphan by serving and honoring the men and women who are Americas Veterans. How would you like to become a part of a team providing compassionate care to Veterans? The Department of Veterans Affairs (VA) needs employees who possess the en...
Provides excellent customer service in handling subrogation claims. Reviews, analyzes and determines subrogation potential on all assigned files. Must understand coverage, policy interpretation and exposure recognition and liability determination at all levels of the claim. Negotiates liability, settlements and payment arrangements. Develops resolution plans by determining filing solutions (arbit...
Associates Degree Required 2-4 years experience required Job Summary: This position performs duties related to data entry, processing, and quality assurance. Audits chart information for quality and billing purposes. All team members are expected to be knowledgeable and compliant with Palmetto Health's values of compassion, dignity, excellence, integrity, and teamwork. Responsibilities: Main...
Job Class CLERICAL/ADMINISTRATIVE FLSA Non-Exempt Job Summary Responsible for patient registration, pre-certification, charge capture and coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes,...