Claims Processor SC

Job Description: Hours/Schedule: Monday – Friday, 8am – 5pm. Training will be 6 weeks. Onsite role. Responsible for the accurate and timely processing of claims. Research 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. 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. Basic office equipment. Proficient in word processing and spreadsheet applications. Proficient in database software. Work Environment: Typical office or home environment. Experience: 2 years experience processing, researching and adjudicating claims. Skills: 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. Education:High School Diploma or equivalent   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, color, religion, sex, sexual orientation, gender identity,national origin, disability, or status as a protected veteran.

Created: 2025-03-08