Healthcare Claims Processor – Precise & Impactful

Pgba, Llc; Myrtle Beach (SC); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Subsidized health plans

401k retirement savings plan with公司匹配

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

National discounts

Job summary

PGBA, LLC is seeking a dedicated Claims Processor to ensure accurate and timely processing of claims in a full-time, on-site role at Myrtle Beach, SC. The position requires US citizenship for security clearance and offers comprehensive benefits.

You will verify codes, resolve edits, and coordinate with internal departments to update patient and provider information while adhering to regulatory standards and company policies.

Qualifications

• High School Diploma or equivalent required.
• Strong analytical, organizational and customer service skills.
• Excellent written and verbal communication; ability to use precise spelling and grammar.
• Good judgment and basic business math skills.

Responsibilities

• Researches and processes claims according to regulation, standards and guidelines.
• Verifies coding of procedures and diagnoses.
• Resolves system edits and errors through investigation and references.
• Coordinates with internal departments to update patient and provider information.

Skills

Analytical skills

Organizational skills

Customer service

Communication skills

Spelling & grammar

Judgment

Math basics

Education

High School diploma

Tools

Office equipment

Job description

PGBA, LLC is seeking a dedicated Claims Processor to ensure accurate and timely processing of claims in a full-time, on-site role at Myrtle Beach, SC. The position requires US citizenship for security clearance and offers comprehensive benefits.

You will verify codes, resolve edits, and coordinate with internal departments to update patient and provider information while adhering to regulatory standards and company policies.