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Entry Level Medical Claims Processor Jobs in Columbia, SC

Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or ...

Coding Payment Resolution Spec

Columbia, SC ยท On-site

$15.25 - $19.50/hr

... claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.

Minimum starting hourly rate is $25.00 This is an entry level position within the Voluntary ... medical documentation, when appropriate. * Ensure a timely and well communicated transfer process ...

Minimum starting hourly rate is $25.00 This is an entry level position within the Voluntary ... medical documentation, when appropriate. * Ensure a timely and well communicated transfer process ...

Ensure claims are processed in a timely manner. 80% Screen, code and key claims to ensure proper ... use medical review forms and all available reference materials. Skills: Required Skills and ...

Ensure claims are processed in a timely manner. 80% Screen, code and key claims to ensure proper ... use medical review forms and all available reference materials. Skills: Required Skills and ...

Experience in state-level healthcare programs, Medicaid systems, or medical claims processing architectures. * Experience with collaborative sharing platforms including SharePoint, MS Project, and ...

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Entry Level Medical Claims Processor information

See Columbia, SC salary details

$12

$18

$23

How much do entry level medical claims processor jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for entry level medical claims processor in Columbia, SC is $18.01, according to ZipRecruiter salary data. Most workers in this role earn between $16.01 and $20.00 per hour, depending on experience, location, and employer.

What is an entry level medical claims processor?

An Entry Level Medical Claims Processor is responsible for reviewing and processing medical insurance claims submitted by healthcare providers and patients. They verify accuracy, ensure claims meet policy requirements, and enter data into processing systems. Their role helps facilitate timely payments and resolves issues related to denied or incorrect claims. Strong attention to detail, knowledge of medical billing codes, and basic computer skills are essential for success in this role.

What does an entry level medical claims processor do?

A typical day for an Entry Level Medical Claims Processor involves reviewing medical claims for accuracy and completeness, inputting data into claims management systems, and communicating with healthcare providers or insurance companies to resolve discrepancies. You may also be responsible for verifying patient information, checking eligibility, and ensuring claims comply with current regulations and company policies. Collaboration with other claims processors, supervisors, or billing teams is common to resolve issues and meet processing deadlines. This role usually follows regular business hours in an office or remote work environment and provides structured training to help you learn the systems and processes. Over time, you may have the opportunity to advance to senior processor or specialist roles as you gain experience.

What are the key skills and qualifications needed to thrive as an entry level medical claims processor?

To thrive as an Entry Level Medical Claims Processor, you need attention to detail, basic knowledge of medical terminology or insurance procedures, and a high school diploma or equivalent. Familiarity with claims processing software, electronic health records (EHR) systems, and Microsoft Office tools is often required, while some employers may value a medical billing and coding certification. Strong organizational skills, problem-solving abilities, and clear communication are important soft skills in this position. These competencies ensure that claims are processed accurately and efficiently, which helps prevent errors, speeds up reimbursements, and supports overall workflow in healthcare administration.

How to get a job as an entry level medical claims processor?

To get an entry-level medical claims processor position, candidates typically need a high school diploma or equivalent and should develop skills in data entry, attention to detail, and familiarity with medical billing software. Relevant certifications, such as the Certified Medical Reimbursement Specialist (CMRS), can improve job prospects, and previous experience in administrative or healthcare settings is beneficial. Strong organizational skills and the ability to work in a fast-paced environment are also important.
What are the most commonly searched types of Medical Claims Processor jobs in Columbia, SC? The most popular types of Medical Claims Processor jobs in Columbia, SC are:
What job categories do people searching Entry Level Medical Claims Processor jobs in Columbia, SC look for? The top searched job categories for Entry Level Medical Claims Processor jobs in Columbia, SC are:
What cities near Columbia, SC are hiring for Entry Level Medical Claims Processor jobs? Cities near Columbia, SC with the most Entry Level Medical Claims Processor job openings:
Infographic showing various Entry Level Medical Claims Processor job openings in Columbia, SC as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $37,461 per year, or $18 per hour.

Claims Processor SelfFunded

Marpai Administrators LLC

Columbia, SC โ€ข On-site

$14 - $17.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago


Job description

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (โ€œMarpaiโ€) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes.

ABOUT THE POSITION:

The Claims Processor will be responsible to for reviewing claims for accuracy, completeness, and eligibility. The Claims Processor is responsible to adjudicate claims, complete work assignments and meet established departmental metrics.

WHAT YOU WILL BE DOING:

Data entry of claims into system.

Review, analyze adjudicate claims

Validate the information on all claims to ensure there is no missing or incomplete information

Ability to understand and apply benefits as outlined in plan document

Maintain/manage all claim inventories in accordance with health plan and regulatory policies

Display maturity, composure and ability to operate under stressful conditions.

Complete daily assignments and update required spreadsheet

Complete end of day summary

Flexibility to change work direction as determined by management

Meet departmental standards for quality, production and attendance.

Analyst is flexible and able to commit to overtime based on business needs

Other duties as required

WHAT DO YOU NEED

Associates degree preferred

2+ yrs claims processing

Strong analytical, research, and communication skills.

Expansive knowledge of medical terminology.

Excellent verbal and written communication skills as well as exemplary organizational skills.

Work closely with leadership to assist in mitigating trends as necessary.

Independent judgment in decision-making and problem solving.

Computer skills in MS Word, Excel, PowerPoint, & Outlook at the intermediate or higher level.

Ability to multi-task & anticipate potential needs/problems.

Strong attention to detail.

Ability to understand and apply on-line documentation policies and procedures.

Excellent customer services skills including an ability to follow through, take ownership and drive all assigned tasks to completion.

Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.

HIPAA Compliance

WORK REQUIREMENTS:

Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible

Travel minimal

WHY WORK AT MARPAI?

We have great benefits:

Generous PTO

Medical and Prescription

EAP

FSA / HSA / Dependent Care

Dental

Vision

Life and Disability

STD/LTD

Voluntary Benefits: Critical Illness, Accident, Hospital

401k with Employer Match

LegalShield

Identity Theft Protection

Marpai is an equal opportunity workplace. We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

This is a remote position.