Claims Processor I
Medical University of South Carolina · US
Job Description Summary • Under general supervision assures accurate and timely insurance claim processing to include resolving claim edits and paper claims...
Job description
Job Description Summary: - Under general supervision assures accurate and timely insurance claim processing to include resolving claim edits and paper claims for submittal. Resolves denied/unpaid insurance claims in a timely manner. Entity: Medical University Hospital Authority (MUHA) Worker Type: Employee Worker Sub-Type: Regular Cost Center: CC005226 SYS - HB Support Services Pay Rate Type: Hourly Pay Grade: Health-20 Scheduled Weekly Hours: 40 Work Shift: Job Description: - Account maintenance: Updating registration, authorization issues, identifying charge correction, , processing adjustments as needed and denial follow up according to payer rules and departmental policies. - Use electronic billing system appropriately to follow up on outstanding denied claims and all no response claims. Corrects claims in electronic billing system for missing or invalid insurance or patient information according to procedures, and places account on hold if you can't resolve - Follow up on denied or no response claims by calling third party payers or using payer websites. Gathering information from patients or other areas to resolve outstanding denied or no response claims. Researching account...