Billing Associate - In Office : Elkin, NC 8a-5p EST

At Prism Medical Products, we're not just offering jobs—we're building careers! As part of our dynamic team, you'll be empowered to make a meaningful impact every day. Whether you're on the frontlines of patient care, operations, or support services, you'll play a vital role in delivering the innovative and patient-centered solutions that define Prism CARE Solutions. We're searching for motivated individuals to elevate our expertise, support our mission, and help deliver outstanding results. Join us to thrive in a fast-paced, collaborative environment that values growth, compliance, and delivering an exceptional client experience.

About the Role

A Billing Associate at Prism Medical Products plays a key role in ensuring accurate and efficient billing processes. You will handle payments, review patient accounts, process mail, and resolve claim errors while maintaining excellent communication with patients and team members.

Responsibilities

• Posts payments to claims in multiple formats (ERA, paper checks, credit cards, etc.).
• Engages in a full understanding of reports and special processes, including the Insurance Paid Patient, Duplicate Report, and Modifier Report, to effectively reduce claim errors.
• Reviews patient accounts for proper verification of credit balances and completes refund requests to Accounting for patient account resolution.
• Processes all incoming and outgoing mail daily, including sorting and distribution to other departments.
• Meets daily deadlines to complete address corrections as identified from mail sources through Change Healthcare and the USPS.
• Meets all necessary training requirements and established daily quotas for Medicare and Medicaid Pre Bill-Audits and rejection resolution.
• Proficiently utilizes all insurance resources to ensure accurate understanding of verification of eligibility reports, either online or through Prism's DME Eligibility Report.
• Interprets and understands Remittance Advices, including allowable amounts, patient responsibility, denial codes, and remark codes, to resolve entry-level denials and research outstanding primary insurance accounts receivable balances.
• Maintains accurate records concerning billing activity by making clear and concise notes in each patient account.
• Scans and designates images as needed into the appropriate Document Imaging category in Noble.
• Provides excellent phone customer service to patients/clients regarding individual account status and balances due.
• Exemplifies good communication upwardly and to other team members to promote a positive environment and produce good results.
• Enhances organization reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.
• Adheres to company policies and procedures regarding employment, safety, and compliance; resolves any areas of non-compliance immediately.
• Reports any concerns of non-compliance to your manager immediately.
• Performs other duties as requested by the Billing Coordinator or other management team members.

Requirements

• High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
• General knowledge of medical business organization and operations.
• Comprehension of basic computer navigation and research.
• Strong relationship-building skills via phone.
• Effective verbal and written communication.
• Continual attention to detail in composing, typing, and proofing materials, establishing priorities, and meeting deadlines.
• Ability to work in a fast-paced environment with multiple competing tasks and demands.
• Professional interaction and communication with individuals at all levels of the organization.
• Self-motivated, results-driven, and a proactive self-starter.

Benefits

Prism CARES for our employees through a commitment to access, resources, and expertise. Our benefits include:

• Health, Dental, and Vision insurance.
• Life and Disability insurance.
• 401K with company matching.
• Paid Holiday Pay and Paid Time Off.
• Education Assistance Program.
• Community Involvement Hours.
• Tuition assistance.
• Company-paid holidays and employee engagement events.
• Tailored coaching, professional development programs, and training opportunities.
• Unmatched onboarding, advanced learning resources, and insights from real-world experience.

Schedule

• Full-time: Monday–Friday, 8:00 AM–5:00 PM.

Location

Elkin, NC (on-site).