Medical University of South CarolinaMC

Claims Processor I-3

MUSC is South Carolina's only comprehensive academic health system and a leader in health sciences education.

Medical University of South Carolina

Employee count: 5000+

United States only

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

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC005226 SYS - HB Support Services

Pay Rate Type

Hourly

Pay Grade

Health-20

Scheduled Weekly Hours

40

Work 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: 0-6months

If 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: http://www.uscis.gov/e-verify/employees

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Entry-level

Location requirements

Hiring timezones

United States +/- 0 hours

About Medical University of South Carolina

Learn more about Medical University of South Carolina and their company culture.

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The Medical University of South Carolina (MUSC) is dedicated to preserving and optimizing human life through education, research, and patient care. Established in 1824 in Charleston, MUSC stands as South Carolina’s only comprehensive academic health system and is also recognized as one of the nation’s leading academic health science centers. Every year, MUSC trains over 3,100 students across six colleges: Medicine, Dental Medicine, Nursing, Pharmacy, Health Professions, and Graduate Studies.

In addition to these educational programs, the institution supports the training of more than 900 residents and fellows within its robust healthcare network. MUSC emphasizes a multi-disciplinary approach to healthcare education, fostering collaboration among various health specialties to effectively address the complexities of patient care. With a substantial operating budget of $5.9 billion and a workforce comprising approximately 31,000 members, MUSC remains dedicated to innovation in healthcare, education, and research across the state and beyond.

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Medical University of South Carolina

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Medical University of South Carolina hiring Claims Processor I-3 • Remote (Work from Home) | Himalayas