Claims Processor I-2
Required skills
- medical insurance benefits
- plan document
- medical claims
- benefit due
- payment
- denial
- legal compliance
- company policies
- procedures
- guidelines
Nice to have
- energetic
- enthusiastic
Role summary
This role involves determining covered medical insurance benefits according to plan documents, documenting claims processes, and resolving claims by approving/denying and initiating payments. The Claims Processor I-2 ensures legal compliance with company policies and federal insurance regulations. A High School Degree or equivalent and 0-6 months of work experience are required. The position is with MUSC Community Physicians (MCP) and is an employee, regular, full-time role.
Job Description Summary
Determine covered medical insurance benefits in accordance with the provisions of the plan document. Document medical claims processes by completing forms, reports, logs and records. Resolve medical claims by approving or denying, calculating benefit due and initiating payment or denial. Ensure legal compliance by following company policies, procedures, guidelines, as well as federal insurance regulations.Entity
MUSC Community Physicians (MCP)Worker Type
EmployeeWorker Sub-Type
RegularCost Center
CC004513 MCP - Revenue CyclePay Rate Type
HourlyPay Grade
Health-21Scheduled Weekly Hours
40Work Shift
Job Description
Determine covered medical insurance benefits in accordance with the provisions of the plan document. Document medical claims processes by completing forms, reports, logs and records. Resolve medical claims by approving or denying, calculating benefit due and initiating payment or denial. Ensure legal compliance by following company policies, procedures, guidelines, as well as federal insurance regulations.
Additional Job Description
Education: High School Degree or Equivalent Work Experience: 0-6monthsIf you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here:
Originally posted on Himalayas
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