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Entry Level Medical Claims Processor Jobs in Columbia, SC

Trice Healthcare

Coding Payment Resolution Spec

Columbia, SC · 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.

Spectra force

Claims Clerk I

Columbia, SC · On-site

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 ...

SPECTRAFORCE

Claims Clerk I

Columbia, SC

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 ...

Sedgwick

Claims Representative , Auto

Columbia, SC · On-site

$50K/yr

Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ... A comprehensive benefits package is offered including but not limited to, medical, dental, vision ...

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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 29, 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.

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 are popular job titles related to Entry Level Medical Claims Processor jobs in Columbia, SC?

For Entry Level Medical Claims Processor jobs in Columbia, SC, the most frequently searched job titles 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:

Entry Level Medical Claims Processor jobs near you
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, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $37,461 per year, or $18 per hour.

Claims Consultant

Tata Consultancy Service Limited

Columbia, SC • On-site

$48K - $55K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 18 days ago

Job description

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned
Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.
TCS Employee Benefits Summary:
• Discretionary Annual Incentive.
• Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
• Family Support: Maternal & Parental Leaves.
• Insurance Options: Auto & Home Insurance, Identity Theft Protection.
• Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.
• Time Off: Vacation, Time Off, Sick Leave & Holidays.
• Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
Salary Ran ge: $48,000 - $55,000 per year

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