21 Results for

Claims Processor Jobs in Charleston, SC

Jobs

Charleston, South Carolina27 days ago

Account 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.

New!

Mt Pleasant, SC2 days ago

Ensure that all merchandise and product received at the store is processed in accordance with established programs and procedures; the backroom is organized and maintained so that merchandise is easily accessible in partnership with the Freight Flow/Operations Lead. Greet everyone (teammates and customers) and proactively approach athletes to understand their needs and support their shopping experience.

Mount Pleasant, SC8 days ago

$20–$23 Per Hour
Temporary
Contractor
Full-time

EPIC 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.

Mount Pleasant, SC19 days ago

$20–$20 Per Hour
Temporary
Contractor
Full-time

Charleston, SC30+ days ago

Remote

Full-time

Proficient 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.

Charleston, SC30+ days ago

Remote

Full-time

Under 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.

Charleston, SC30+ days ago

Remote

Full-time

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. 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.

Charleston, SC30+ days ago

Remote

Full-time

The 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.

Charleston, SC30+ days ago

Remote

Full-time

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. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.

Charleston, South Carolina15 days ago

Drive 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.

Charleston, South Carolina20 days ago

We will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people.

New!

Charleston, South Carolina1 day ago

You'll receive extensive training to engage with small and medium-sized businesses across various industries, interfacing directly with business owners and decision-makers to offer industry-leading supplemental insurance products and services. Balancing cold lead generation and sales with warm leads and appointments with existing clients, leveraging provided sales leads and engaging in targeted cold-calling efforts.

Charleston, SC30+ days ago

As a 1099 independent contractor, you will play a critical role in assessing damages, estimating repair costs, and delivering high-quality appraisals for auto and heavy equipment claims. CCMS & Associates is seeking experienced Auto and Heavy Equipment Appraisers to join our independent adjuster and appraiser roster.

Charleston, SC30 days ago

Remote

Full-time

Technical 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 .

Charleston, SC30+ days ago

Remote

Full-time

The Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.

Charleston, SC30 days ago

Remote

Full-time

Technical 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.

Charleston, SC18 days ago

Full-time

Rick Hendrick BMW CharlestonLocation: 1518 Savannah Hwy, Charleston, South Carolina 29407Summary: Responsible for preparing records, reconciling warranty claims, and submitting warranty claims to the factory and distributors in accordance with Company guidelines. Certificates and Licenses:o Valid Driver’s Licenseo Automobile Salesperson License Computer Skills:Intermediate computer skills in Microsoft Office products.

Charleston, SC14 days ago

Remote

$80,000–$95,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. This role requires a deep understanding of insurance industry workflows and the ability to translate business needs into actionable product strategies that deliver measurable impact.

Charleston, SC30+ days ago

$135,678–$165,672 Per Year

The role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.

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Claims Processor Jobs in Charleston, SC

Jobs

Claims Processor IIMUSC

Retail Operations AssociateDICK'S Sporting Goods

Patient Services Representative #26-09665US Tech Solutions, Inc.

Patient Services RepresentativeUS Tech Solutions, Inc.

Claims ReviewerTriWest Healthcare Alliance

Claims Recoup & Collect AnlystTriWest Healthcare Alliance

Sr Claims ReviewerTriWest Healthcare Alliance

Supervisor, Claims AdminTriWest Healthcare Alliance

Claims Escalation RepTriWest Healthcare Alliance

Deputy CIO, Care Technologies & Informatics - Information SolutionsMUSC

Insurance Sales RepresentativeSummit Business Group

Sales LeaderSummit Business Group

Auto & Heavy Equipment Appraiser - 1099 - Charleston, SCCCMS & Associates

IT Delivery LeadTriWest Healthcare Alliance

Director, Provider ExperienceTriWest Healthcare Alliance

Provider Relations RepTriWest Healthcare Alliance

Warranty AdministratorHendrick Automotive Group Corporate

Product Owner (AI & Insurance Innovation)Insurance Office of America

Examiner Nurse PractitionerLoyal Source

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