Title: Claims Processor I
Location: Columbia SC, 29229
Time: MONDAY-FRIDAY, 7:30AM-4:30PM
Duration: 3 Months (Contract to Hire)
ONSITE INTERVIEWS

Duties:

• Responsible for the accurate and timely processing of claims. •
• 75% Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the 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.
• Maintains all departmental productivity, quality, and timeliness standards.
• 5% Assist with the training of new employees and cross training of coworkers.

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 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.

Education:
    Required Education: High School Diploma or equivalent Required Work Experience: None Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment. Preferred Skills and Abilities: Ability to use complex mathematical calculations. 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 18.00/hr.