Medical Claims Examiner

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Job ID: 51708
Location: Greenville, South Carolina
Employment Type: Direct Hire
Last Updated: 1 days ago
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We are seeking a professional Medical Claims Specialist to join a growing team in Greenville, SC. This is a full time, permanent, direct hire position with full benefits. The ideal candidate will have 2+ years of experience in medical claims, and will also have strong knowledge of ICD-10, CPT, and ADA codes.

Job Description:
  • Review of pended claims for billing errors
  • Correct errors manually prior to finalizing claims
  • Review and process provider’s contract/agreements or pricing agreements
  • Communicates complex issues that arise with management
  • Processes claim exception reports as assigned 

Qualifications:
  • High School Diploma or GED
  • 2+ years of medical claims expereince
  • Strong ICD-10, CPT, and ADA code knowledge
  • Excellent expereince working in MS Office Suites
  • Expereince working in a third party administration setting is preferred

Hours:
  • Monday to Friday (8am to 5pm)
  • 100% ONSITE

Compensation & Benefits:
  • $50,000 – $52,000
  • Medical, Dental, Vision
  • PTO
  • Company Paid Holidays
  • Excellent culture
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