- Cognizant (Columbia, SC)
- …US Based** Claims Processors to join our growing team. The **Medical** ** Claims Processor ** is responsible for the timely and accurate adjudication of ... professional and hospital claims utilizing payer specific policies and procedures. Provide support...this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off +… more
- Cognizant (Columbia, SC)
- …years of claim processing is required. **Travel:** None required **About the role:** As Claims Processor (with Facets), you will be responsible for timely and ... accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for issues… more
- Highmark Health (Columbia, SC)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit… more
- TEKsystems (Columbia, SC)
- Description: Reviews and adjudicates complex or specialty claims . Determines whether to return, deny or pay claims following organizational policies and ... new staff members. *70% Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines.… more
- US Tech Solutions (Myrtle Beach, SC)
- …**Job Description:** + Responsible for the accurate and timely processing of claims . + Research and processes claims according to business regulation, ... coding of procedure and diagnosis codes. Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.… more
- Cognizant (Columbia, SC)
- …environment and able to multi-task successfully? If so, please apply today! The Claims Processor , you will ensure accurate and timely adjudication of ... professional and hospital claims utilizing payer specific policies and procedures. Provide support...this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off +… more
- PruittHealth (North Augusta, SC)
- …state prior to hire and per renewal regulations. 30. Monitors workers compensation claims and coordinate work between employee and insurance carrier. 31. ... and placed into personnel file. 42. Monitors worker's compensation claims and coordinate work between employee and insurance... claims and coordinate work between employee and insurance carries. 43. Ensures that the daily census and… more