Medical Claims Specialist Jobs in South Carolina

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31 South Carolina Medical Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 31
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
Medical Billing Specialist Charleston Cancer Center is currently seeking an experienced Medical Billing Specialist to join our team in Charleston, SC. About Us: The Charleston Cancer Center is guided by a tradition of personal, clinical and technological excellence. We are dedicated to providing the highest quality of ethical patient care with compassion and respect for each person, their famil...
Company Social Security Administration Branch Georgetown SC US Position: Social Insurance Specialist (Claims Representative Trainee)(ICTAP/VEOA) Location: Georgetown, SC work with claimants to determine their eligibility for payment, file for administrative appeals, process claims and authorize them for payment, provide referral… Do you have a desire to: Help SSA manage its Social Securit...
Claims Business Analyst This is a great 6+ month rolling contract opportunity with a large, financially stable, industry leader. It is located in Columbia, SC, ranked as one of CNN's Money magazine's "Best Places to Live" and Forbes Best place for Business and Careers! *Please Note: Only U.S. Authorized will be considered. Corp to Corp will not be considered. What do you need to know to perform...
Position Summary: Responsible for tracking, collecting, posting and managing account payments. Maintenance of all billing related documentation to insure accurate and timely billing in strict compliance with Medicare, Medicaid, Commercial Insurance and Private Pay reimbursement sources. Responsible for follow up on all accounts receivable balances. Principal Accountabilities/Responsibilities: ·...
Molina Healthcare Inc Charleston, SC
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
Molina Healthcare Inc Charleston, SC
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
Molina Healthcare Inc Charleston, SC
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
Molina Healthcare Charleston, SC, 29402
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor sta...
Molina Healthcare Charleston, SC, 29402
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor sta...
Position Description: RN Coding Specialist Reporting to the Operations Manager, the RN Coding Specialist will be responsible for providing professional assessment of proposed medical services including Inpatient and Outpatient coding (i.e. MS DRGs, APR DRGs, and APCs). S/he will determine the correct coding and pricing in support of the medical review operations of Provider Resources, Inc. (PRI)....
AR Specialist We are currently seeking professional employees with strong administrative skills to support the healthcare advisory division of a large service delivery center. The AR specialist will serve as the primary point of contact for all insurance follow-up, and auditing of accounts to ensure correct balances. Many Full-time contract to hire positions available with an expected start date...
Chicago Bridge & Iron Company Jenkinsville, SC, 29065
Summary: Additional Details: Responsible for developing, implementing and/or administering safety, health, environmental protection, and substance abuse prevention programs affecting employee and public safety, occupational health, fire protection and prevention, and equipment and property protection. Ensure compliance with all environmental, health and safety regulations Responsibilities: Ass...
AmeriHealth Caritas Charleston, SC, 29402
The AmeriHealth Caritas Family of Companies is growing! We are the nation’s leading provider of health care solutions for the underserved—a mission-driven organization that has helped people in need for 30 years. Our companies positively impact the lives of nearly 5 million individuals in 13 states. As we expand, AmeriHealth Caritas is seeking talented, passionate associates to join our team. Tog...
Marketing – Management – Sales – Public Relations – Retail – Customer Service You have a gift. You know just what to say at any given moment. Your personality alone puts people at ease. People love you. People follow you. This is what drives you. This is the type of person we are looking for. Advanced Marketing Solutions is a marketing & promotions firm located Downtown Columbia that specializes...
McLeod Health Florence, SC, 29503
The Coding Specialist is responsible for coding claims for professional fees for practice based physicians or other entities. Will involve close wo..." /> McLeod Home Career Opportunities Living Well/Benefits Life Outside of McLeod Students/Scholarships Nursing Career Opportunities Search Current Openings Update Your Profile Resume Tips Interview Tips Driving Directions Create a Job Agent Recru...
State of South Carolina Charleston, SC, 29402
Job Responsibilities Benefits Supplemental Questions Additional The Department of Mental Health is a drug-free workplace. All candidates will be required to pass a mandatory pre-employment drug test. This position is located at 2090 Executive Hall Road, Charleston, SC. Under general supervision and general accepted medical reimbursement standards performs reimbursement functions to ensure comp...
Greenville Health System Greenville, SC, 29601
Responsible for patient registration, precertification, charge capture and coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at days end. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information and codes, enters into database, completes billing process, and distribute...
Greenville Health System Clinton, SC, 29325
Responsible for patient registration, precertification, charge capture and coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at days end. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information and codes, enters into database, completes billing process, and distribute...
Greenville Health System Greenville, SC, 29601
Responsible for patient registration, precertification, charge capture and coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at days end. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information and codes, enters into database, completes billing process, and distribute...

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Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in South Carolina
(241 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
23.5%
Some College Coursework Completed
22.5%
Associates
16.6%
High School
14.4%
Certification
11.8%
Vocational
7.5%
(187 Respondents)
Source: Monster.com Careerbenchmarking Tool

Popular Medical Claims Specialist Articles

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