Medical Claims

Our Healthcare Advisory team is seeking talented and professional candidates to work for our Hospital Claims Investigation team! We are looking for candidates that are career minded, enjoy a challenge, and analytical thinkers. The position is entry-level, and comprehensive paid training is provided. We offer competitive pay, benefits, and incentive programs in this position.

Job Description

Medical Claims Representative Responsibilities:

  • Research outstanding claims balances using online research via insurance company portals, and telephone calls to organizations regarding claims status
  • Analyze patient information as well as claim information to resolve claims
  • Work through multiple proprietary systems as well as specific hospital billing systems
  • Take initiative to utilize and apply industry knowledge to resolve outstanding claims
  • Demonstrate a sense of ownership and personal accountability for productivity

Medical Claims Representative Requirements:

  • High School Diploma or Equivalent required; Bachelors or Associate in relevant field preferred
  • Experience working with Hospital billing and Medical insurance claims preferred
  • Knowledge and experience with insurance carrier billing and reimbursement preferred
  • Understanding medical terminology, ICD-9,ICD-10, and CPT codes preferred
  • Excellent verbal and written communication skills
  • The ability to analyze data and interpret data to resolve problems is a must
  • Attendance and reliability are a must
  • Eagerness to accept new challenges, and personal accountability are a must

If interested please apply today or send your resume to

About Recruiting Solutions

Recruiting Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Recruiting Solutions complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

Recruiting Solutions expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.

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Job Summary

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  • Location

    Columbia, SC

  • Order Type


  • Contact Phone

    (803) 806-8125

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