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Medical Claims Specialist

Job in Greenville, Greenville County, South Carolina, 29610, USA
Listing for: Find Great People | FGP
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
  • Insurance
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below

We are seeking a professional Medical Claims Specialist to join a growing team in Greenville, SC
. This is a full time, permanent, direct hire position with full benefits. The ideal candidate will have 2+ years of experience in medical claims, and will also have strong knowledge of ICD-10, CPT, and ADA codes.

Job Description
  • Review of pended claims for billing errors
  • Correct errors manually prior to finalizing claims
  • Review and process provider’s contract/agreements or pricing agreements
  • Communicates complex issues that arise with management
  • Processes claim exception reports as assigned
Qualifications
  • High School Diploma or GED
  • 2+ years of medical claims experience
  • Strong ICD-10, CPT, and ADA code knowledge
  • Experience working in a third party administration setting is preferred
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