Billing Specialist

AnMed Health

Anderson, SC

JOB DETAILS
SKILLS
Accounting, Billing, Centers for Medicare and Medicaid Services (CMS), Communication Skills, Corporate Compliance, Credit and Collections, Current Procedural Terminology (CPT), Financial Reporting, General Ledger Accounting, Government, HIPAA (Health Insurance Portability and Accountability Act), High School Diploma, Insurance, Maintain Compliance, Managed Care, Medical Billing, Medical Records, Medical Terminology, Presentation/Verbal Skills, Problem Solving Skills, Regulations, Regulatory Compliance, State Government, Systems Analysis, Third-Party Payer, Time Management, Writing Skills
LOCATION
Anderson, SC
POSTED
8 days ago

Located in the heart ofAnderson, South Carolina,AnMedis a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, ourmissionis simple yet powerful: To provide exceptional and compassionate care to all we serve. AnMed has been named one of theBest Employers in South Carolinaby Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether youre just starting your career or looking to grow in a new direction, youll find opportunities to thrive, lead, and make a meaningful impact here. Responsible for handling billing for physician services, filing insurance, posting payments, and bank deposits. Acts as the primary contact for patients as related to account information. Prepares and files electronically or hardcopy claims. Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining to compliance in billing. Responsible for researching denials and initiating appeals, when necessary. Scans and indexes all patient information accurately and in a timely manner. Balances cash, patient payments, and GL entries to accounting reports daily. Must be able to interact with patients and the general public respectfully and professionally. Maintains and exhibits a positive, supportive and safety conscious attitude to promote a good work environment. Duties Responsibilities Maintains knowledge of Government, State, HIPPA, and Commercial Insurance/Managed Care, rules, and regulations governing billing compliance. Maintains provider billing information so claims can be successfully processed and transmitted to third party payers. Work with internal resources, clearing house vendor(s), and payers to ensure all provider information is up to date to ensure in both AnMed Health and third-party receiving systems. Analyze, research, and independently resolve claim submission edits by obtaining information from the medical record and applying CMS rules and regulations, CPT coding guidelines, and departmental policies and procedures. Ensure claims are submitted in the proper format and to the correct destination as defined by the requirements in the facilitys various Third-Party Payer contracts. Resolve issues with payer sources, reporting any ongoing problems to the appropriate manager or supervisor. Qualifications High school diploma or GED. Good communication skills, both written and verbal. Prior experience working with the public. Preferred Qualifications Prior electronic and/or hard copy billing. Knowledge of medical terminology. Familiar with the 1500 and UB04 forms and requirements for billing/collections Background in Accounting and/or experience in accounting. Prior experience working with Government, State, and Commercial Insurance carriers. Knowledge of Corporate Compliance issues in regard to HIPPA and Government Programs. Benefits Medical Insurance Wellness Offerings. Compensation, Retirement Financial Planning. Free Financial Counseling. Work-Life Balance Paid Time Off (PTO). Professional Development. For more information, please visit: anmed.org/careers/benefits Varied benefits packages are available for positions with a 0.6 FTE or higher.

About the Company

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AnMed Health