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Document processor • charleston sc

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Claims Processor II

MUSCCharleston, South Carolina, United States
[job_card.full_time]

Under general supervision assures accurate and timely insurance claim processing to include resolving claim edits and paper claims for submittal.Resolves denied/unpaid insurance claims in a timely ...[internal_linking.show_more]

Transaction Coordinator, Investments

Brookfield PropertiesCharleston, SC, United States
[job_card.full_time]

Maymont Homes Transaction Coordinator.Location: Charleston - 997 Morrison Drive, Suite 402.Business: Our Growth, Your Opportunity.At Maymont Homes, our success starts with putting residents first.W...[internal_linking.show_more]

Shift Leader

Taziki's Cafe - Taz Charleston, LLCMt Pleasant, SC, US
[job_card.full_time]

I was friends with all of my co-workers so it felt like a family! I had good pay and great hours! I enjoyed learning how to do a lot of things in the kitchen!".It has been by far my favorite job.I ...[internal_linking.show_more]

Quality Control Engineer - Civil

BE&K Building GroupNorth Charleston, SC, USA
[job_card.full_time]
[filters_job_card.quick_apply]

QUALITY CONTROL ENGINEER - Civil.The QA/QC Engineer (Civil) is responsible for ensuring that all civil construction activities are executed in compliance with project specifications, engineering st...[internal_linking.show_more]

Regional Sales Manager - South Carolina

Medsurg Sales StaffingCharleston, SC, USA
[job_card.permanent]

Blue Chip Device Manufacturer is expanding.We are recruiting for an experienced device sales manager.Manage a sales force of 6 reps and 4 clinical specialists.Region is SC and the souther half of G...[internal_linking.show_more]

Healthcare Technician (Document Control Specialist)

RLDatixMount Pleasant, SC, US
[job_card.full_time]

Healthcare Technician (Document Control Specialist) | Solution Management | USA | Remote or Hybrid.RLDatix (RLD) is on a mission to help raise the standard of care…everywhere.Trusted by over 10,000...[internal_linking.show_more]

Mail Processor - No Experience Required

Postal Jobs AssistCharleston, South Carolina, United States
[job_card.full_time]

USPS is accepting applications for PSE Mail Processing Clerks nationwide.This role is vital to ensuring the timely and accurate processing of mail.USPS provides comprehensive training to help you s...[internal_linking.show_more]

 • [job_card.promoted]

Remote Google Docs Power Users - AI Trainer ($100-$100 per hour)

MercorNorth Charleston, South Carolina, US
[filters.remote]
[job_card.part_time]

Share any Google Docs you use regularly — the more detailed and complete, the better! This includes **meeting notes, travel itineraries, resumes, cover letters, project reports, tax prep notes, ben...[internal_linking.show_more]

Mortgage Advisor - Charleston

Synovus FinancialCharleston, SC, United States
[job_card.full_time]

Commission Based Lending Services.Provides lending services to the real estate community by serving and identifying financial needs.Promotes mortgage products to clients.Develops loan referrals and...[internal_linking.show_more]

Remote Travel Itinerary Materials - AI Trainer ($80-$100 per hour)

MercorNorth Charleston, South Carolina, US
[filters.remote]
[job_card.part_time]

We are looking for Travel Itinerary Materials.You must take out your own sensitive details yourself.Compensation is up to $100 per file.All content should be non-AI generated, and timestamped.Your ...[internal_linking.show_more]

 • [job_card.new]

Remote Travel Itinerary Materials - AI Trainer ($80-$100 per hour)

MercorCharleston, South Carolina, US
[filters.remote]
[job_card.part_time]

We are looking for Travel Itinerary Materials.You must take out your own sensitive details yourself.Compensation is up to $100 per file.All content should be non-AI generated, and timestamped.Your ...[internal_linking.show_more]

 • [job_card.new]

Stock Room Processor

HomeGoodsMt. Pleasant, South Carolina, 29464
[job_card.part_time]

At TJX Companies, every day brings new opportunities for growth, exploration, and achievement.You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your...[internal_linking.show_more]

Mortgage Loan Processor - Reverse

Mutual of Omaha MortgageCharleston, SC, US
[job_card.full_time]
[filters_job_card.quick_apply]

Mutual of Omaha is a Fortune 300 Company with an iconic brand and outstanding customer loyalty.Mutual of Omaha Mortgage is inspired by hometown values and a commitment to being responsible and cari...[internal_linking.show_more]

Remote Word Docs Power Users - AI Trainer ($80-$100 per hour)

MercorMount Pleasant, South Carolina, US
[filters.remote]
[job_card.part_time]

You must take out your own sensitive details yourself.Compensation is up to $100 per document.All content should be non-AI generated, and timestamped.Your samples will not be used beyond evaluation...[internal_linking.show_more]

Remote W2 Mortgage Processor (Salary and Benefits) (Veteran Only)

TENTH MOUNTAIN LLCCharleston, SC, United States
[job_card.full_time]

Mortgage Processor (Veterans Only).The Mortgage Processor (Veterans Only) is responsible for managing and processing mortgage loan applications, ensuring that all required documentation is accurate...[internal_linking.show_more]

Mortgage Loan Officer Assistant

United Community BankMount Pleasant, SC, United States
[job_card.full_time]

Mortgage Loan Officer Assistant.United Community is seeking a highly organized and customer-focused Mortgage Loan Officer Assistant.As a Mortgage Loan Officer Assistant, you will support our Mortga...[internal_linking.show_more]

Mortgage Loan Officer

HomeTrust BankCharleston, SC, United States
[job_card.full_time]

Primary responsibilities include the solicitation and origination of mortgage, real estate related and other HomeTrust Bank loan products.The incumbent counsels borrowers to ensure they acquire a l...[internal_linking.show_more]

Operations Generalist II

Evening Post PublishingNorth Charleston, South Carolina, United States
[job_card.full_time]
[filters_job_card.quick_apply]

The Operations Generalist II is a cross functional position responsible for general operational duties in a production environment with a concentration in receiving and distribution.Fork lift and c...[internal_linking.show_more]

Remote Google Docs Power Users - AI Trainer ($100-$100 per hour)

MercorCharleston, South Carolina, US
[filters.remote]
[job_card.part_time]

Share any Google Docs you use regularly — the more detailed and complete, the better! This includes **meeting notes, travel itineraries, resumes, cover letters, project reports, tax prep notes, ben...[internal_linking.show_more]

Claims Processor II

Claims Processor II

MUSCCharleston, South Carolina, United States
[job_card.variable_days_ago]
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  • [job_card.full_time]
[job_card.job_description]


Job Description
Summary

Under general supervision assures accurate and timely insurance claim processing to include resolving claim edits and paper claims for submittal. Resolves denied/unpaid insurance claims in a timely manner.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC005226 SYS - HB Support Services

Pay Rate Type

Hourly

Pay Grade

Health-21

Scheduled Weekly Hours

40

Work Shift


Job Description

  • Account maintenance: Updating registration, authorization issues, identifying charge correction, , processing adjustments as needed and denial follow up according to payer rules and departmental policies.
  • Use electronic billing system appropriately to follow up on outstanding denied claims and all no response claims. Corrects claims in electronic billing system for missing or invalid insurance or patient information according to procedures, and places account on hold if you can't resolve
  • Follow up on denied or no response claims by calling third party payers or using payer websites. Gathering information from patients or other areas to resolve outstanding denied or no response claims. Researching accounts to take appropriate action necessary to resolve.
  • Keep management aware of issues and trends to enhance operations and escalates slow-pay issues to managerial level when necessary. Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.
  • Maintains 95% quality standards on account follow and activity.
  • Maintains productivity standard as set forth by management team.
  • Will serve as preceptor for Physician Patient Accounting and receive STAR certification. Ability to cross-cover on any team as directed by management team or Director of Physician Patient Accounting. Provide payer feedback during team meetings encourage collaboration among groups. Collaborates with other claims processor II, to review and enhance existing workflows supporting training PPA team members.
  • Other duties as assigned.

Additional
Job Description

· Able to prioritize work on a daily basis. Requires independent judgement in handling patient accounts. Direct supervision available on a daily basis as conditions may require.

· Associates Degree preferred with 2 years billing and insurance follow up or 4 years of billing and insurance follow up in a hospital or physician office setting required. Thorough working knowledge of insurance terminology, CPT coding and billing rules required. Knowledge of Epic preferred.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees