Claims Processor I - Detail-Focused Claims Specialist

Pgba, Llc; Florence (SC); On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

401k retirement savings plan with公司匹配

Paid Time Off (PTO)

On-site cafeterias

Education Assistance

Job summary

PGBA is seeking a Claims Processor I to handle accurate and timely processing of healthcare claims in our Florence, SC office. The role is full-time, Monday–Friday, 8am–5pm, with on-site work at 200 N Dozier Blvd, Florence, SC 29501.

You will research and process claims, verify procedure and diagnosis codes, and collaborate with internal teams to correct edits and ensure proper enrollment and documentation. Strong math, communication, and organizational skills are essential.

Qualifications

• High School Diploma or equivalent required.
• Strong attention to detail and numerical accuracy.
• Experience with claims processing or healthcare billing is a plus.

Responsibilities

• Researches and processes claims according to guidelines and regulations.
• Verifies coding and resolves system edits and errors through investigation.
• Coordinates with internal departments to update patient and insurance information.

Skills

Claims processing

Analytical skills

Customer service

Data entry

Education

High School Diploma or equivalent

Tools

Microsoft Office

Medical claim systems

Job description

PGBA is seeking a Claims Processor I to handle accurate and timely processing of healthcare claims in our Florence, SC office. The role is full-time, Monday–Friday, 8am–5pm, with on-site work at 200 N Dozier Blvd, Florence, SC 29501.

You will research and process claims, verify procedure and diagnosis codes, and collaborate with internal teams to correct edits and ensure proper enrollment and documentation. Strong math, communication, and organizational skills are essential.