AP CLAIMS PROCESSOR

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Lutheran Services Carolinas (LSC) is a mission-driven nonprofit organization dedicated to serving individuals and communities across North and South Carolina. Founded in 1960, LSC provides a wide range of services for children, families, and seniors through compassionate care, innovative programs, and community partnerships. Guided by a commitment to dignity, respect, and service, LSC strives to empower those we serve and make a meaningful difference in the lives of others.

LSC is seeking a full-time Accounts Payable - Claims Processor to join our Finance team at the Administration Office.

• Full-time
• In-person position
• Compensation based on experience and skill set
• Primarily Monday-Friday, 8:00 AM - 4:30 PM, with some scheduling flexibility
• Additional $2.00 per hour if teammate opts out of benefits
• Benefit eligibility begins after 30 days
• Medical, Dental, Vision, Retirement, PTO, and more
• Free medical insurance option ($0 premium)
• Career Advancement Opportunities
• Tuition Assistance and Scholarship Opportunities

The Accounts Payable - Claims Processor is responsible for ensuring paper and electronic claims received from providers are processed and adjudicated accurately according to organizational policies and procedures. This position verifies Medicare and contracted provider payment rates, communicates with providers to resolve issues, and processes properly adjudicated claims through the accounts payable system.

• Follow established procedures to pay, return, or deny claims and verify that payments have been completed.
• Review and resolve claims discrepancies in a timely manner.
• Develop effective working relationships with billing providers, members, and internal teammates.
• Review authorization documentation, determine applicable benefits, and initiate appropriate denial or payment processes.
• Work with billing providers and interdisciplinary teams to correct claim authorizations and ensure claims can be processed appropriately.
• Research and process claims according to business regulations, internal standards, and processing guidelines.
• Verify procedure and diagnosis coding for claims.
• Research and resolve system edits, audits, and claims errors using approved references and investigative resources.
• Coordinate with internal departments to resolve edits and deferrals and update patient, insurance, provider, and related records as needed.
• Process payment for properly adjudicated claims.
• Maintain accurate and organized claims files.
• Record 1099 forms each calendar year.
• Perform other duties as assigned.

• High school diploma or equivalent required.
• Bachelor's degree preferred.

• Previous experience in accounts payable and/or claims processing preferred.

• Excellent computer skills and proficiency with Microsoft Office.
• Strong organizational and time-management skills.
• Excellent written and verbal communication skills.
• Ability to work effectively with providers and internal teammates to resolve claims and billing issues.
• Strong attention to detail and accuracy.
• Excellent interpersonal skills.
• Strong data entry skills.
• Ability to appropriately manage confidential and proprietary information.

This is a full-time, in-person position based at LSC's Administration Office. The schedule is primarily Monday-Friday, 8:00 AM - 4:30 PM, with some flexibility.

At LSC, you'll be part of a mission-driven organization dedicated to making a meaningful difference in the lives of children, families, and seniors throughout the Carolinas. As an Accounts Payable - Claims Processor, you'll play an important role in supporting accurate and efficient financial operations while collaborating with providers and teammates across the organization.

If you are detail-oriented, organized, and have experience with accounts payable or claims processing, we encourage you to apply today!

Lutheran Services Carolinas is an Equal Opportunity Employer.