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Medical Claims & Utilization Reviewer

Job in Myrtle Beach, Horry County, South Carolina, 29588, USA
Listing for: Pgba, Llc
Full Time position
Listed on 2026-02-23
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
Position: Medical Claims & Utilization Reviewer I
A healthcare services provider in Myrtle Beach is seeking a qualified candidate for medical claim reviews. Responsibilities include determining coverage for medical services and conducting eligibility screenings. The ideal applicant will hold a bachelor's degree in Social Work or an equivalent nursing credential and possess strong critical thinking and customer service skills. Competitive benefits and a supportive work environment are offered, making it an attractive employer in the healthcare sector.
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