Claims Clerk I

Spectraforce is a leading global services firm that provides a portfolio of consulting, staffing and outsourcing services and solutions to a broad range of clients and industries worldwide. We are headquartered in Raleigh, NC, USA. Job Description Title: Claims Clerk I Location: Columbia, South Carolina, 29203 Duration: 12 months Shift: Mon-Fri 8:00-4:30 and Mon-Fri 11:30-8:00pm Note: Training will be for at least 2 weeks on a Mon-Fri 8:30-5:00PM Qualifications Screen, code and key claims in claims system. Ensure claims are processed in a timely manner. 80% Screen, code and key claims to ensure proper and accurate adjudication of claims in accordance with departmental standards for quality and production, contract regulations, policies and guidelines. 10% Correct keying errors as noted by system edits. 10% Accurately use medical review forms and all available reference materials. Skills: Required Skills and Abilities: Strong organizational and analytical skills. Strong verbal and written communication skills. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Standard office equipment. Preferred Skills and Abilities: Ability to accurately key 5000 ksph or 30 wpm. Preferred Software and Other Tools: Intermediate in word processing, spreadsheet application, and database software. Work Environment: Typical office environment. Education: Required Education: High School Diploma or equivalent. Required Experience: None. Additional Information All your information will be kept confidential according to EEO guidelines. #J-18808-Ljbffr