Claims Processor I

Medical University of South Carolina - - Responsibilities: Assure accurate and timely insurance claim processing to include resolving claim edits and paper claims for submittal.; Resolve denied/unpaid insurance claims in a timely manner.; Perform account maintenance such as updating registration and authorization issues, processing adjustments, and denial follow up according to payer rules.; Follow up on denied or no-response claims by contacting third party payers or using payer websites.; Maintain 95% quality standards on account follow-up and activity.