Jobs · Healthcare · South Carolina

Medical Biller - Spartanburg

HealthcareFull-time

Essential Functions

  • Set up payment arrangements, collect accounts, and monitor and pursue delinquent accounts.
  • Monitor and resolve claim discrepancies, including but not limited to clearinghouse rejections and claim denials.
  • Understanding of insurance billing and payment processing, as well as ICD-10 and CPT coding
  • Calculate and collect payments for services like procedures, tests, or surgeries
  • Submit primary and secondary insurance claims electronically daily and on HCFA to ensure timely reimbursement.
  • Provide telephone and office customer service for all patients and authorized representatives regarding patient accounts under practice protocol.
  • Adhere to all practice policies related to HIPAA and Medicare Compliance.
  • Obtain prior authorizations for specialty medications and Veterans Administration.

Education

  • High School Diploma (Required)
  • Associate Degree (Preferred)

Work Experience

  • Medical billing: 1 year (Preferred)

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