Assist with financial operational needs for patients by managing claims, accounts receivable follow-up, and reimbursement workflows.
Monitor and follow up on aged and high-dollar specialty accounts, identify payer variances, and work to resolve missing payments, payer delays, and technical denials. Ensure insurance carrier payments are accurate and properly posted, and review accounts after payment posting to determine whether balances should move to secondary payer or patient responsibility.
Process billing functions, including resolving discharged-not-final-billed and stop-bill errors, claim edits, and paper claim submissions for primary and secondary claims. Investigate claim rejections, re-bill when appropriate, and work with internal departments, payers, and patients to resolve denial issues and secure full reimbursement for services rendered.
Support revenue cycle operations, maintain strong communication with internal teams and external payers, and help keep accounts receivable aging within acceptable levels.
Qualifications
- High school diploma or equivalent, or post-high school diploma/highest degree earned
- 3 years of experience in hospital claims and billing follow-up
- In lieu of a bachelor's degree, 2 years of hospital billing follow-up/denials experience may be considered
- Prior experience with claims and insurance denials required
- Understanding of hospital and physician claim forms
- Knowledge of payer guidelines
- Strong communication skills preferred
- Attention to detail preferred
- CRCA preferred
- CRCR preferred
Benefits
- Competitive compensation package with bonus opportunities
- Employer matched 401(k)
- Free visit and prescriptive services with HDHP insurance plan
- Employer matched HSA
- Generous PTO package
- Career development and growth opportunities
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
4 months ago