New

Processor, Claims I

Spectraforce Technologies
United States, South Carolina, Columbia
Apr 20, 2026
Title: Claims Processor I Location: Columbia SC, 29229 Time: MONDAY-FRIDAY, 7:30AM-4:30PM Duration: 3 Months (Contract to Hire) ONSITE INTERVIEWS Duties: 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. Maintains all departmental productivity, quality, and timeliness standards. 5% Assist with the training of new employees and cross training of coworkers. Skills: Required Skills and Abilities: 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. Required Software and Tools: Basic office equipment. Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications. Proficient in database software. Work Environment: Typical office or home environment. Education: Required Education: High School Diploma or equivalent Required Work Experience: None Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment. Preferred Skills and Abilities: Ability to use complex mathematical calculations.