NewClaims Processor I-9 Medical University of South CarolinaClaims Processor I-9Charleston, SCAccount maintenance: Updating registration, authorization issues, identifying charge correction, processing adjustments as needed and denial follow up according to payer rules and departmental policies. Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerCharleston, SCRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsCharleston, SC$59,059.65–$82,000 / year29059, 29402, 29404, 29405, 29406, 29407, 29414, 29417, 29418, 29420, 29423, 29426, 29434, 29437, 29438, 29448, 29449, 29455, 29456, 29468, 29470, 29471, 29472, 29477, 29481, 29483, 29484, 29485, 29487. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Credit Processor Medical University of South CarolinaCredit ProcessorCharleston, SCAbility 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. Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances, and Epic system knowledge helpful.
Senior Workers Compensation Claims Adjuster - KY, GA, NC, SC GallagherSenior Workers Compensation Claims Adjuster - KY, GA, NC, SCCharleston, South CarolinaRemoteFull timeHow you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystCharleston, SCRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminCharleston, SCRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerCharleston, SCRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Senior Risk & Claims Consultant Education Realty Trust Inc (Inactive)Senior Risk & Claims ConsultantCharleston, SC$78,000–$98,000 / yearHeadquartered in Charleston, South Carolina, Greystar manages and operates over $300 billion of real estate in more than 265 markets globally with offices throughout North America, Europe, South America, and the Asia-Pacific region. Greystar is a leading, fully integrated global real estate platform offering expertise in property management, investment management, development, and construction services in institutional-quality rental housing.
Property Claims Leader, South & Central Regions Hub International LtdProperty Claims Leader, South & Central RegionsSC$150,000–$160,000 / yearABOUT HUB INTERNATIONAL: HUB International Limited (HUB) is one of the largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. The expected salary range for this position is $150,000 to $160,000 and will be impacted by factors such as the successful candidates skills, experience and working location, as well as the specific positions business line, scope and level.
VP, Professional & Executive Risk, ProEx Claims Hub International LtdVP, Professional & Executive Risk, ProEx ClaimsCharleston, SC$200,000–$235,000 / yearDisclosure required under applicable law in California, Colorado, Illinois, Maryland, Minnesota, New York, New Jersey, Ohio, and Washington states: The expected salary range for this position is $200,000- $235,000 and will be impacted by factors such as the successful candidate's skills, experience and working location, as well as the specific position's business line, scope and level. Working within the Claims Department in a client-facing role, the successful candidate will apply their experience in providing interpretation of policy language, coverage analysis, advocacy, coverage and dispute resolution, act as liaison between clients, adjusters, lawyers and insurance companies, claims management and other related client services.
Contact Representative U.S. Department of DefenseContact RepresentativeCharleston, SC$45,409–$72,644 / yearGS-8 Grade Level: Specialized Experience: One year of specialized experience which includes 1) assist beneficiaries by resolving or correcting discrepancies of existing medical claims, 2) provide regulatory healthcare guidance to the patient population on their rights, benefits, privileges, access to care and available eligibilities, 3) counsel beneficiaries on a broad range of available health benefit programs, and 4) utilize an automated healthcare database to enter and retrieve patient data. GS-6 Grade Level: Specialized Experience: One year of specialized experience which includes 1) perform referral screening and appointing for referrals, 2) ensure all specialty referrals are screened, processed and appointed in accordance with local policies, 3) receive incoming calls and walk-in visits from patients, and 4) enrollment processing.
CIN Clinical Ops Coord Roper St. Francis HealthcareCIN Clinical Ops CoordLadson, SCProvider roster management includes ongoing capture and verification of all provider info needed to operate online provider search tools, submit rosters for claims processing, manage prioritization of "refer-to" providers in EHR and conduct other important RSFHA business. Responsible for working with committee chair and RSFHA leadership to conduct annual network membership review, review provider participation requirements, manage corrective action process, review network ancillary/wrap providers, etc.
Clinical Integration Network Clinical Operations Coordinator - ACO Physician Partners Roper St. Francis HealthcareClinical Integration Network Clinical Operations Coordinator - ACO Physician PartnersLadson, South CarolinaProvider roster management includes ongoing capture and verification of all provider info needed to operate online provider search tools, submit rosters for claims processing, manage prioritization of “refer-to” providers in EHR and conduct other important RSFHA business. Responsible for working with committee chair and RSFHA leadership to conduct annual network membership review, review provider participation requirements, manage corrective action process, review network ancillary/wrap providers, etc.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Mount Pleasant, SCRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Deputy CIO, Care Technologies & Informatics - Information Solutions Medical University of South CarolinaDeputy CIO, Care Technologies & Informatics - Information SolutionsCharleston, SCDrive the patient omni-channel journey through technology-orchestrating seamless experiences across digital intake, self-scheduling, patient portals, mobile apps, real-time feedback tools, wayfinding, and post-visit engagement platforms to elevate satisfaction scores, strengthen loyalty, and ensure continuity at every touchpoint across MUSC Health. Lead a structured optimization sprint cycle that identifies, prioritizes, and delivers high-impact clinical and operational system improvements on a rapid, repeatable cadence-using data-driven intake, stakeholder feedback, and agile delivery practices to continuously advance system performance and end-user experience.
Deputy CIO, Care Technologies & Informatics - Information Solutions MUSCDeputy CIO, Care Technologies & Informatics - Information SolutionsCHARLESTON, South CarolinaDrive the patient omni-channel journey through technology—orchestrating seamless experiences across digital intake, self-scheduling, patient portals, mobile apps, real-time feedback tools, wayfinding, and post-visit engagement platforms to elevate satisfaction scores, strengthen loyalty, and ensure continuity at every touchpoint across MUSC Health. Lead a structured optimization sprint cycle that identifies, prioritizes, and delivers high-impact clinical and operational system improvements on a rapid, repeatable cadence—using data-driven intake, stakeholder feedback, and agile delivery practices to continuously advance system performance and end-user experience.
Sr Manager, Business Process Solutions - Insurance DXC Technology CoSr Manager, Business Process Solutions - InsuranceCharleston, SCJob Description: DXC Technology is a leading global technology services provider helping the world's largest enterprises and public sector organizations modernize mission-critical systems, optimize operations, and accelerate innovation through AI, cloud, security, and enterprise technology solutions. In this strategic leadership role, you will define and optimize business processes, lead high-performing global teams, and partner with executive stakeholders to improve operational performance while expanding our Business Process Solutions portfolio.
Director, Resident Receivables and Recovery Brookfield Residential Properties ULCDirector, Resident Receivables and RecoveryCharleston, SCThe Director, Resident Receivables and Recovery is responsible for overseeing the company's accounts receivables, collections, evictions, resident ledger management, and ledger closeout functions across the organization's portfolio. The role is responsible for driving operational efficiency, improving delinquency and recovery performance, enhancing resident account accuracy, and developing scalable processes and reporting frameworks across all resident receivable and recovery functions.
Patient Services Representative US Tech Solutions, Inc.Patient Services RepresentativeMount Pleasant, SC$20 / hourEPIC and Charge Entry Audit: Responsible for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Patient Check Out: At check out, verify patient charges in electronic system, recheck insurance information, schedule return appointments if appropriate and collect balances due.
Patient Services Representative #26-09665 US Tech Solutions, Inc.Patient Services Representative #26-09665Mount Pleasant, SC$20–$23 / hourEPIC and Charge Entry Audit: Responsible for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Patient Check Out: At check out, verify patient charges in electronic system, recheck insurance information, schedule return appointments if appropriate and collect balances due.
UNIV -Operations Manager - Insurance Services Medical University of South CarolinaUNIV -Operations Manager - Insurance ServicesCharleston, SCSupport maintenance of organized claim files, logs, and supporting documentation across multiple insurance lines (e.g., general liability, professional liability, workers compensation, property, auto, and disaster-related claims). This role supports day to day operations through claims support, RMIS administration, human resources coordination, budgetary tracking, and office management.
Pharmacy Technician- Specialty Pharmacy Operations Medical University of South CarolinaPharmacy Technician- Specialty Pharmacy OperationsCharleston, South CarolinaIn addition, technicians are actively engaged in inventory management processes, including medication ordering, receiving, and ongoing inventory maintenance to ensure accurate stock levels and continuity of patient care. New team members who are enrolled or will enroll in a pharmacy technician training program accredited by the American Society of Health-System Pharmacists (ASHP) and/or recognized by PTCB, have 30 days post program completion to obtain certification.
Pharmacy Technician- Specialty Pharmacy Operations MUSCPharmacy Technician- Specialty Pharmacy OperationsCharleston, South CarolinaIn addition, technicians are actively engaged in inventory management processes, including medication ordering, receiving, and ongoing inventory maintenance to ensure accurate stock levels and continuity of patient care. New team members who are enrolled or will enroll in a pharmacy technician training program accredited by the American Society of Health-System Pharmacists (ASHP) and/or recognized by PTCB, have 30 days post program completion to obtain certification.
IT Delivery Lead TriWest Healthcare AllianceIT Delivery LeadCharleston, SCRemoteFull timeTechnical Skills: Knowledge of technology impacts on business strategic direction enabling definition and integration of technical plans supporting the enterprise business functions; knowledge and expertise in project/program management methodologies and tools to include Agile; experience with product/solution/system lifecycles; expert knowledge in one or more of: system servers and data network; traditional telephony principals and support; Microsoft enterprise software, server principals and support; HP enterprise products and services: data communication and network architectures, design, and support; installation, maintenance and support of large scale application systems; healthcare industry experience, to include medical management and provider data/solutions: proficient with Microsoft Project, Project Server, Visio, and SharePoint Services. • 7+ years of related and progressive experience combining various elements of technical delivery or support, solutions implementation, process automation, project management, and team leadership .
Provider Relations Rep TriWest Healthcare AllianceProvider Relations RepCharleston, SCRemoteFull timeTechnical Skills: The ability to solve problems independently while working in a fast paced, energetic environment; strong communication skills, (oral and writing skills); a proven ability as a facilitator/instructor; self-motivated, able to work in a team and independently. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
Warehouse Coordinator IV Yusen LogisticsWarehouse Coordinator IVCharleston, South CarolinaAfter making a conditional offer and running a background check, if Yusen Logistics (Americas) Inc. is concerned about conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Demonstrates ability to comply with YLA Core Competencies: Problem Solving & Decision Making, Accountability & Responsibility, Communication, Collaboration & Teamwork, and Customer Focus.
Warehouse Coordinator IV Yusen Logistics (Americas) Inc.Warehouse Coordinator IVCharleston, SCAfter making a conditional offer and running a background check, if Yusen Logistics (Americas) Inc. is concerned about conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Demonstrates ability to comply with YLA Core Competencies: Problem Solving & Decision Making, Accountability & Responsibility, Communication, Collaboration & Teamwork, and Customer Focus.
Psychologist - (Part-time) - Charleston, SC Commonwealth Medical ServicesPsychologist - (Part-time) - Charleston, SCCharleston, SCWhether you are an experienced psychologist seeking a more flexible role or looking to transition into a lower-stress practice setting, this opportunity offers the ability to continue making a meaningful impact while maintaining work-life balance. Step away from the demands of traditional clinical practice and enjoy a structured, low-stress environment with 1099 compensation , work-life balance, and built-in support.
Insurance Agent Pre-Licensing Instructor (Part-Time) Trident Technical CollegeInsurance Agent Pre-Licensing Instructor (Part-Time)Charleston, SCWorkforce Training at Trident Technical College provides career-focused programs designed to help individuals quickly gain industry-recognized credentials and enter high-demand fields.\n \nInsurance Agent Pre-Licensing Instructor \u2013 Property and Casualty\n \nCourse description \u2013 This comprehensive pre-licensing course prepares students to take the state Property & Casualty (P&C) Insurance Producer Licensing Examination. By the end of this course, students will possess the knowledge, skills, and confidence needed to meet state licensing requirements and begin a career in insurance sales, underwriting support, customer service, or agency operations.\n \nInsurance Agent Pre-Licensing Instructor \u2013 Life and Health\n \nCourse Description \u2013 This course equips students with the essential knowledge required to pass the Life & Health Insurance Producer Licensing Examination.
Liquor Cashier Walmart IncLiquor CashierNORTH CHARLESTON, SC$18–$26 / hourRespect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent. Operates hardware such as cash registers or related equipment processes member purchases and assists in payments returns refunds and exchanges using appropriate procedures for different membership and payment types.
New(USA) Optician Sam''''''''s Walmart Inc(USA) Optician Sam''''''''sNORTH CHARLESTON, SC$26–$34 / hourSells Optical products and services by assisting Members with purchasing decisions measuring adjusting and repairing frames and lenses completing eyewearcontact lens orders identifying and verifying prescription information completing and maintaining paperwork forms and other required documentation collecting payments for doctor services and performing and recording results of optometric pretests. Respect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent.
New(USA) Optician Dual License Walmart Inc(USA) Optician Dual LicenseNORTH CHARLESTON, SC$33–$41 / hourSells Optical products and services by assisting Members with purchasing decisions measuring adjusting and repairing frames and lenses completing eyewearcontact lens orders identifying and verifying prescription information completing and maintaining paperwork forms and other required documentation collecting payments for doctor services and performing and recording results of optometric pretests. Respect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent.
Customer Service Representative - State Farm Agent Team Member Allison Ditullio - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCharleston, SCAs a Customer Service Representative - State Farm Agent Team Member with Allison Ditullio - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Ashby Clark - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSummerville, SCAs a Customer Service Representative - State Farm Agent Team Member with Ashby Clark - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Our culture is supportive, purpose-driven, and growth-oriented, and we’re looking for team members who want to build something meaningful, work hard, and be part of an agency that values family, service, and long-term success.
Customer Service Representative - State Farm Agent Team Member Mary Joseph - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCharleston, SC$45,000–$75,000 / yearAs a Customer Service Representative - State Farm Agent Team Member with Mary Joseph - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Billy Swails - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMt Pleasant, SCAs a Customer Service Representative - State Farm Agent Team Member with Billy Swails - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Licensed Optician FT Summerville SC #285 Eyemart Express LLCLicensed Optician FT Summerville SC #285Summerville, SCToday, Eyemart Express is celebrated for promptly delivering quality eyewear at great prices, while maintaining great relationships with optometrists and local communities. Provide Exceptional Customer Service: Use your optical expertise and product knowledge to precisely meet customer needs, ensuring personalized and informed interaction.
Customer Service Representative - State Farm Agent Team Member Jason Hughes - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberNorth Charleston, SCAs a Customer Service Representative - State Farm Agent Team Member with Jason Hughes - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Freezer, Cooler and Deli Stocker Associate Walmart IncFreezer, Cooler and Deli Stocker AssociateNorth Charleston, SC$16–$23 / hourMaintains the Sales Floor and merchandise presentation in the Freezer/Cooler/Deli area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise. Follows Company policies and procedures related to Freezer/Cooler area by complying with food handling policies; operating, repairing, and sanitizing equipment; following Cold Chain procedures when stocking merchandise; cleaning freezer /cooler/deli area (for example, windows, mirrors, display cases and coolers); monitoring freezer/cooler fans, drains and doors for proper operation; and reporting issues to Management.
Ophthalmology Medical Biller & Coder Carolina Macula and RetinaOphthalmology Medical Biller & CoderCharleston, SC$20–$25 / hourThis role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization. You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up.
Customer Service Representative - State Farm Agent Team Member Sarah Beem - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberNorth Charleston, SCAs a Customer Service Representative - State Farm Agent Team Member with Sarah Beem - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Perry Metzler - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCharleston, SCAs a Customer Service Representative - State Farm Agent Team Member with Perry Metzler - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
NewUNIV - Dental Billing Specialist - College of Dental Medicine MUSCUNIV - Dental Billing Specialist - College of Dental MedicineCharleston, South CarolinaAssist with the collections of receivables for guarantor and any third-party payers by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting supervisor of seriously overdue accounts and trends. The College of Dental Medicine (CDM) MUSC billing team member will manage collection issues with CDM Leadership, resolve issues, apply new information to future collection issues, and make suggestions to enhance our efficiency and effectiveness through process improvement.
Customer Service Representative - State Farm Agent Team Member Angela Holbert - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMt Pleasant, SCAs a Customer Service Representative with Angela Holbert State Farm, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.