Claims Processor II

Myrtle Beach, South Carolina

US Tech Solutions
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Job Description:

  • Responsible for the accurate and timely processing of claims.
  • Research and processes claims according to business regulation, internal standards and processing guidelines.

Responsibilities:

  • 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


  • Required Software and Tools: Proficient in word processing and spreadsheet applications. Proficient in database software.

Education:

  • Required Education Level and Degree Type: High School Diploma or equivalent
  • Required Work Experience: Experience processing, researching and adjudicating claims

Experience: Experience processing, researching and adjudicating claims


About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .


US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


Recruiter's Detail:

Name: Bhavya Singh

Email:

Internal Job ID: 25-33701

Date Posted: 31 March 2025
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