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Processor, Claims I

Company

Paladin Consulting

Location

Columbia, South Carolina

Type

Full-time


Duties:
  • Responsible for the accurate and timely processing of claims.
  • % Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
  • % Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
  • % Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.
  • Skills:

    Required Skills and Abilities:
  • Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills.
  • Required Software and Tools: Basic office equipment.
  • Preferred Software and Other Tools: Proficient in word proce...
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