Claims Service Representative
Job in
Myrtle Beach, Horry County, South Carolina, 29588, USA
Listed on 2026-01-01
Listing for:
Hornet Staffing, Inc, a GEE Group company
Full Time
position Listed on 2026-01-01
Job specializations:
-
Healthcare
Healthcare Administration, Medical Billing and Coding
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.
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.
- Basic office equipment.
- Proficient in word processing and spreadsheet applications.
- Proficient in database software.
Typical office or home environment.
Seniority levelMid-Senior level
Employment typeContract
Job functionHealth Care Provider, Customer Service, and Other
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