New 
Processor, Claims I
 Spectraforce Technologies | |
 United States, South Carolina, Florence | |
 Aug 21, 2025 | |
| Responsible for the accurate and timely processing of claims.*75% Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.*20% Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.*5% Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary., Education: Required Education: High School Diploma or equivalentRequired Work Experience: NonePreferred Work Experience: 1 year-of experience in a healthcare or insurance environment.Preferred Skills and Abilities: Ability to use complex mathematical calculations. | |