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Claims Service Representative

Job in Myrtle Beach, Horry County, South Carolina, 29588, USA
Listing for: Hornet Staffing, Inc, a GEE Group company
Full Time position
Listed on 2026-01-12
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 60000 USD Yearly USD 60000.00 YEAR
Job Description & How to Apply Below

Duties

  • Responsible for accurate and timely processing of claims.
  • 75% Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies coding of procedure and diagnosis codes.
  • 20% Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
  • 5% Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.
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 processing and spreadsheet applications.
  • Proficient in database software.
Work Environment

Typical office or home environment.

Seniority level

Mid-Senior level

Employment type

Contract

Job function

Health Care Provider, Customer Service, and Other

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