Responsible for correctly processing healthcare claims to obtain reimbursement from insurance companies and government healthcare programs, including Medicare and Medicaid.
Performs claim validation, claim scrubbing, filing, rebilling, correspondence handling, and follow-up on open accounts to ensure timely reimbursement and accurate account resolution.
Maintains daily worklists, works account receivables, contacts payers within required follow-up guidelines, documents claim activity, and supports internal and external customer service needs.
Participates in departmental and organizational meetings and continuing education, while adhering to all applicable policies and procedures.
Education and experience
- High school diploma or GED required; associate degree in a related field preferred
- 1-2 years of medical billing and follow-up experience desired
- CPC and/or CPB certification, or similar certification, highly desired but not required
- eClinicalWorks experience preferred
Knowledge and skills
- Working knowledge of ICD-10, CPT, and HCPCS codes
- Knowledge of insurance payer coding and reimbursement guidelines
- Proficiency with Microsoft Office Suite, especially Excel, Word, and PowerPoint
- Strong active listening, attention to detail, and decision-making skills
- Ability to work in a high-pressure environment and manage multiple tasks simultaneously
- Strong problem-solving, collaboration, customer service, and communication skills
- Ability to work independently and take direction from leadership
Other requirements
- No supervisory responsibilities
- Must be able to communicate effectively in the dominant language of the region
- Must be able to lift up to 30 pounds and meet physical demands of the role
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago