Claims Processor Role

$35,776 - $35,776/Yr

TEKsystems - Florence, SC

Full-time - Entry Level

Florence, SC

10,001+ employees

Professional, Scientific, and Technical Services

About the position

The Claims Processor role at TEKsystems involves processing claims efficiently and accurately, addressing escalated issues, and ensuring compliance with business regulations and internal standards. The position requires strong analytical and customer service skills, as well as the ability to work under deadlines in a typical office environment.

Responsibilities

• Researches and processes claims according to business regulation, internal standards, and processing guidelines.
• Verifies the coding of procedure and diagnosis codes.
• Resolves system edits, audits, and claims errors through research and use of approved references and investigative sources.
• Coordinates with internal departments to work edits and deferrals, updating necessary patient and provider identification files.

Requirements

• 1 year of experience in a healthcare or insurance environment.
• Strong analytical, organizational, and customer service skills.
• Strong oral and written communication skills.
• Proficient spelling, punctuation, and grammar skills.
• Good judgment skills.
• Basic business math skills.

Nice-to-haves

• Proficient in word processing and spreadsheet applications.
• Proficient in database software.

Benefits

• Medical, dental & vision insurance
• 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Paid Time Off (PTO), Vacation or Sick Leave