Job Opportunity: Medical Claims Processor
Location: Columbia, SC (downtown Columbia, onsite)
Pay: $20.00/hour
Schedule: Monday - Friday, 8:30 AM - 5:00 PM (37.5 hours a week)

Are you skilled in medical billing, claims and/or credentialing with experience working in a dynamic healthcare environment? We are seeking Medical Claims Processor to support our department's transition to a new EHR system.

Key Responsibilities:
-Maintain in-depth knowledge of program and payer policies, rules, and reimbursement regulations.
-Monitor revenue cycle claim queues and utilize Revenue Manager for claim submissions.
-Review claims for corrections, denials, and errors to ensure timely payments.
-Manage secondary claims for assigned payers post-primary claim adjudication.
-Handle payer enrollment processes statewide in the Electronic Health Record practice management system.
-Participate in presentations, workshops, and training sessions as needed.
-Adapt to changing program needs and provide support related to billing and revenue enhancement activities.

Qualifications:
-Credentialing experience is highly important.
-Strong knowledge of Medicare, Medicaid, and third-party payer billing processes.
-Experience with EHR systems, ideally Cerner-based platforms.
-Familiarity with computerized billing systems and management information systems (MIS).
-Ability to analyze claims and resolve discrepancies promptly.
-Flexibility to adjust to evolving program needs and requirements.

What We Offer:
-Opportunity to contribute to the implementation of a cutting-edge EHR system.
-Work in a collaborative, mission-driven public health environment.
-Gain valuable experience in medical billing and credentialing in a state-of-the-art healthcare system.

This is not an administrative role – this position focuses on medical billing and payer credentialing to support our public health finance operations.

Apply today to help us optimize our revenue cycle and improve healthcare delivery!

EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.