Patient Access Associate Specialist - Part Time Ensemble Health PartnersPatient Access Associate Specialist - Part TimeCharleston, SCul>Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Billing Specialist Guardian Pharmacy LLCBilling SpecialistCharleston, SCp>Who We Are and What We're About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
Billing Specialist Guardian Pharmacy Services ManagementBilling SpecialistCharleston, South Carolinap style="text-align:inherit"/>Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs.
Billing/ Coding Administrator Carolina Macular and Retinal CareBilling/ Coding AdministratorMount Pleasant, SC$20–$25 / hourdiv align="center" style="margin:0in;font-size:12pt;font-family:'aptos' , sans-serif;color:rgb( 0 , 0 , 0 );text-align:center"> . This role offers stable hours, a small team environment, and the opportunity to expand your skills beyond routine charge entry.
Accounts Receivable and Billing Specialist Charleston Gastroenterology Specialist PAccounts Receivable and Billing SpecialistSummerville, SCThis position plays a key role in managing the billing cycle, ensuring timely and accurate posting of payments, resolving claim denials, and maintaining strong relationships with both patients and insurance carriers. Charleston GI has been developing since 1989, our practice is the first and largest gastroenterology practice in the Lowcountry to operate a physician's practice and three nationally certified and state licensed endoscopy centers.
UNIV - Dental Billing Specialist - College of Dental Medicine Medical University of South CarolinaUNIV - Dental Billing Specialist - College of Dental MedicineCharleston, SCAssist with the collections of receivables for guarantor and any third-party payers by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting supervisor of seriously overdue accounts and trends. The College of Dental Medicine (CDM) MUSC billing team member will manage collection issues with CDM Leadership, resolve issues, apply new information to future collection issues, and make suggestions to enhance our efficiency and effectiveness through process improvement.
Medical Billing & Coding Specialist (GI Practice) Charleston Gastroenterology Specialist PMedical Billing & Coding Specialist (GI Practice)Summerville, SCp/>Charleston GI has been developing since 1989, our practice is the first and largest gastroenterology practice in the Lowcountry to operate a physicians practice and three nationally certified and state licensed endoscopy centers. This role supports both coding and billing functions and requires someone who can work efficiently, communicate professionally, and take ownership of claim accuracy from the start.
Supervisor, Client Billing Xifin IncSupervisor, Client BillingCharleston, SC$62,000–$75,000 / yearp>How you will make an impact: In this role, you'll: Incoming and outbound client calls; taking payment information, assisting clients with concerns/issues, collect past due invoices & updates as needed. Utilizing your analytical capabilities, you and the Client Billing team will investigate issues, identify root cause, and establish best practices for the function, and communicate possible solutions to the customer/sales reps.
Billing Specialist - Shared Services Insurance Office of AmericaBilling Specialist - Shared ServicesLadson, SCRemote$40,000–$60,000 / yearFull timei>Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Data Validation: Review and verify EPIC data fields, including policy numbers, commissions, ICO/PPE, and related billing details before processing.
UNIV - Billing Specialist - College of Dental Medicine Medical University of South CarolinaUNIV - Billing Specialist - College of Dental MedicineCharleston, SCAssist with the collections of receivables for guarantor and any third-party payers by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting supervisor of seriously overdue accounts and trends. The College of Dental Medicine (CDM) MUSC billing team member will manage collection issues with CDM Leadership, resolve issues, apply new information to future collection issues, and make suggestions to enhance our efficiency and effectiveness through process improvement.
Scheduling and Billing Specialist - Radiology - Roper Hospital Roper St. Francis HealthcareScheduling and Billing Specialist - Radiology - Roper HospitalCharleston, SCThe Scheduler is responsible to coordinate and schedule patient testing and procedures, including interacting with physician offices, other health care providers and staff in departments that provide services to ensure patients are scheduled as soon as possible. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.
Billing Analyst II Lumos Networks Corp.Billing Analyst IICharleston, SC$23.42–$29.30 / hourp>About Segra: Segra owns and operates a wide and dense fiber-optic infrastructure footprint that provides state-of-the-art connectivity, cybersecurity, voice, cloud and colocation solutions, all backed by industry-leading service and reliability. Role Overview: The Billing Analyst II is responsible for independently managing end-to-end billing processes, including usage rating, pricing validation, dispute support, and billing system maintenance.
UNIV - Director of Dental Billing - College of Dental Medicine Medical University of South CarolinaUNIV - Director of Dental Billing - College of Dental MedicineCharleston, SC10%: Manages various departmental contracts, insurance negotiations and manages and assists in revenue cycle budget - Manages and oversees the billing contracts and provides assistances to the Assistant Dean of Finance, Senior Director and Assistant Dean of Clinical Affairs in negotiation of insurance, Medicare and Medicaid for the college. Responsible for revenue cycle and working with the Clinical and Administrative Operations Director and Senior Director of Finance on the creation of all new scheduling departments, Billing Areas, Financial Subdivisions, locations, and appointment types in EPIC.
Billing Analyst I Medical University of South CarolinaBilling Analyst ICharleston, SCFor further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees. MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina.
Senior CABS Billing Analyst Lumos Networks Corp.Senior CABS Billing AnalystCharleston, SC$27.20–$38.46 / hourAbout Segra: Segra owns and operates a wide and dense fiber-optic infrastructure footprint that provides state-of-the-art connectivity, cybersecurity, voice, cloud and colocation solutions, all backed by industry-leading service and reliability. Role Overview: Senior Billing Analyst - Carrier Access Billing (CABS) is responsible for the accurate generation, validation, and reconciliation of carrier access billing in accordance with industry tariffs, regulatory guidelines, and interconnect agreements.
Bill and Account Collector Pro-Serv Food EquipmentBill and Account CollectorCharleston, SCAs a Bill and Account Collector, you will be making phone calls or sending emails to customers with outstanding debts, discussing their options for payment, and finding a common ground so that every party is happy with the outcome. The ideal candidate has exceptional customer service skills, strong computer skills, and comfortability working in a fast-paced environment.
UNIV - Research Finance Billing Compliance Analyst - Hollings Cancer Center MUSCUNIV - Research Finance Billing Compliance Analyst - Hollings Cancer CenterCHARLESTON, South CarolinaAfter the notification that the study has been pushed to the University’s system called SPARCRequest (Services, Pricing, & Application for Research Centers), this role will begin the creation of the important research billing compliance grid that outlines the study procedures and proper billing designations per the PRA documents. After approval confirmation has been received this role will begin the revision of the research billing compliance grid the University’s system called SPARCRequest (Services, Pricing, & Application for Research Centers) that outlines the study procedures and proper billing designations per the PRA document.
UNIV - Research Finance Billing Compliance Analyst - Hollings Cancer Center Medical University of South CarolinaUNIV - Research Finance Billing Compliance Analyst - Hollings Cancer CenterCharleston, SCAfter the notification that the study has been pushed to the Universitys system called SPARCRequest (Services, Pricing, & Application for Research Centers), this role will begin the creation of the important research billing compliance grid that outlines the study procedures and proper billing designations per the PRA documents. After approval confirmation has been received this role will begin the revision of the research billing compliance grid the Universitys system called SPARCRequest (Services, Pricing, & Application for Research Centers) that outlines the study procedures and proper billing designations per the PRA document.
Remote Benefits Specialist Actalent IncRemote Benefits SpecialistCharleston, SCRemote$17–$19 / hourIf you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options. The Benefits Verification Associate obtains and verifies complete insurance information, manages prior authorization processes, and supports patients and providers by ensuring accurate coverage, benefits, and billing details.
Medical Biller/Financial Coordinator Kirar Superior HealthcareMedical Biller/Financial CoordinatorLadson, SCWe at Kirar Superior Healthcare transform the health of our community by helping people move freely, heal naturally, and live fully for 100 years through chiropractic care. This role works closely with providers, patients, and insurance companies to maintain compliance, maximize reimbursement, and provide excellent patient financial communication.
Front Desk Medical Biller Kirar Superior HealthcareFront Desk Medical BillerLadson, South Carolinadiv class="job-description-container">Responsive recruiterJob Title: Insurance Biller and Coder. “We at Kirar Superior Healthcare transform the health of our community by helping people move freely, heal naturally, and live fully for 100 years through chiropractic care.”.Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Mount Pleasant, SCli>Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.Ophthalmology Medical Biller & Coder Carolina Macula and RetinaOphthalmology Medical Biller & CoderCharleston, SC$20–$25 / hourThis role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization. You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up.Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)North Charleston, SCREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.Nurse Practitioner or Physician Assistant - Burn Surgery Medical University of South CarolinaNurse Practitioner or Physician Assistant - Burn SurgeryCharleston, SCli>Provides timely, courteous, and efficacious care to patient; examine, diagnose, prescribe treatments and medications, performs or orders tests and/or procedures for a variety of diseases and injuries using applicable medical instruments and equipment within the healthcare delivery system, referring to medical specialist for consultation and communicating with patients' primary physicians as indicated. The Clinical Thermal Injury Specialist Advanced Practiced Provider (APP) provides patient centered healthcare utilizing a holistic and multidisciplinary approach to deliver state of the art care to patients with thermal injury and other skin and soft tissue disorders.Patient Access Associate Specialist Ensemble Health PartnersPatient Access Associate SpecialistMount Pleasant, SCJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistSummerville, SCp>Job Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.Patient Access Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNSummerville, SC$17–$18.15 / hourJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.Patient Access Associate Specialist - Part-time Ensemble Health PartnersPatient Access Associate Specialist - Part-timeCharleston, South Carolinaul>Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Employment Disclaimers – Ensemble.Patient Access Associate Specialist - PRN Ensemble Health PartnersPatient Access Associate Specialist - PRNMount Pleasant, South Carolinaul>Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Employment Disclaimers – Ensemble.PRN - Patient Access Associate Specialist Ensemble Health PartnersPRN - Patient Access Associate SpecialistNorth Charleston, SCp>Job Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.Guest Experience Specialist - CHS Signature Aviation LtdGuest Experience Specialist - CHSNorth Charleston, SCThis is a dynamic, hands-on position that requires flexibility to work varied schedules, including nights, weekends, and holidays, and the ability to operate in both indoor and outdoor environments, often near active aircraft and ground service equipment. Whether you're greeting a VIP traveler, supporting a flight crew, or coordinating services behind the scenes, you bring grace under pressure and attention to detail that ensures every visit is smooth, comfortable, and memorable.Hospital Coding Specialist II (Observation) West Virginia University MedicineHospital Coding Specialist II (Observation)SCol>Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.Medical Records Specialist HCA HealthcareMedical Records SpecialistCharleston, SCp/>As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.NewBranch Coordinator, Home Health CenterWellBranch Coordinator, Home HealthCharleston, South CarolinaOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.NewBranch Coordinator, Home Health Humana IncBranch Coordinator, Home HealthNorth Charleston, SC$39,000–$49,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.Insurance AR Specialist - Remote Surgical Information Systems LLCInsurance AR Specialist - RemoteCharleston, SCRemoteFor ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.Compliance Auditor Medical University of South CarolinaCompliance AuditorCharleston, SCThe audit scope includes a) the regulatory and industry research needed for audit planning, b) pre and post audit meetings with stakeholders, c) cohesive audit report that communicates results and includes a corrective action plan if warranted, and d) education and training to stakeholders as needed. Education requirements: Bachelor"s degree in a related field and a minimum of 2 years of medical billing, coding, and or audit experience or high school diploma or equivalent (GED) and 4 years of medical billing, coding, and or audit experience required; college degree preferred.UNIV - Administrative Coordinator I - Department of Ophthalmology Medical University of South CarolinaUNIV - Administrative Coordinator I - Department of OphthalmologyCharleston, South CarolinaMinimum Requirements: A high school diploma and four years relevant experience in business management, public administration or administrative services; or a bachelor's degree and two years experience in business management, public administration or administrative services. This role is critical to ensuring efficient clinic operations, accurate scheduling, timely patient communication, and seamless coordination among clinical teams, financial services, referral partners, and operating room staff.UNIV - Administrative Coordinator I - Department of Ophthalmology MUSCUNIV - Administrative Coordinator I - Department of OphthalmologyCharleston, South CarolinaMinimum Requirements: A high school diploma and four years relevant experience in business management, public administration or administrative services; or a bachelor's degree and two years experience in business management, public administration or administrative services. This role is critical to ensuring efficient clinic operations, accurate scheduling, timely patient communication, and seamless coordination among clinical teams, financial services, referral partners, and operating room staff.NewTravel Nurse RN - Outpatient Clinic - $1,756 per week in Charleston, SC Magnet MedicalTravel Nurse RN - Outpatient Clinic - $1,756 per week in Charleston, SCCharleston, SC$1,755.50–$1,755.50p>A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.NewPatient Access Representative II Medical University of South CarolinaPatient Access Representative IICharleston, South CarolinaBachelor’s degree from an accredited college/university; or a high school diploma or equivalent (GED) and two years of work experience in a Medical Office, Call Center, and/or customer service business environment and a minimum of 6 months satisfactory work experience in MUHA Patient Access, or at least 6 months of medical related work experience is required.If you like working with energetic enthusiastic individuals, you will enjoy your career with us!. Reviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries.NewPatient Access Representative Medical University of South CarolinaPatient Access RepresentativeCharleston, South CarolinaReviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries. Reporting to the Patient Access Manager, the Patient Access Associate exhibits a high level of customer service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services.NewPatient Access Representative MUSCPatient Access RepresentativeCharleston, South CarolinaReviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries. Reporting to the Patient Access Manager, the Patient Access Associate exhibits a high level of customer service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services.NewPatient Access Representative II MUSCPatient Access Representative IICharleston, South CarolinaBachelor’s degree from an accredited college/university; or a high school diploma or equivalent (GED) and two years of work experience in a Medical Office, Call Center, and/or customer service business environment and a minimum of 6 months satisfactory work experience in MUHA Patient Access, or at least 6 months of medical related work experience is required.If you like working with energetic enthusiastic individuals, you will enjoy your career with us!. Reviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries.Public Benefit Specialist Ensemble Health PartnersPublic Benefit SpecialistCharleston, SC$18.65–$20.50 / hourEssential Job Functions: Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions. Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.Credit Processor (WFH) Medical University of South CarolinaCredit Processor (WFH)Charleston, SCAbility to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances, and Epic system knowledge helpful.UNIV – Fiscal Technician II – Pathology and Laboratory Medicine MUSCUNIV – Fiscal Technician II – Pathology and Laboratory MedicineCharleston, South Carolina$37,200–$48,300 / year35% - OurDay (WorkDay) Procurement: Within the OurDay system, submits requisitions for purchase requests, attaching purchase approvals, quotes, and other documentation as required by purchase type to include equipment, supplies and services with a 24-hour period. Physical Requirements: (Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift) Ability to perform job functions in an upright position.Revenue Integrity Analyst MUSCRevenue Integrity AnalystCharleston, South Carolinap>The Revenue Integrity Analyst will perform internal quality assessment claim reviews to ensure compliance with federal, payer and internal Revenue Cycle policies to ensure complete, accurate and consistent resolution of claims being held due to edits assigned to Revenue Integrity for resolution, resulting from charging and/or reimbursement and data integrity. The Revenue Integrity Analyst will perform internal quality assessment claim reviews to ensure compliance with federal, payer and internal Revenue Cycle policies to ensure complete, accurate and consistent resolution of claims being held due to edits assigned to Revenue Integrity for resolution, resulting from charging and/or reimbursement and data integrity.UNIV – Fiscal Technician II – Pathology and Laboratory Medicine Medical University of South CarolinaUNIV – Fiscal Technician II – Pathology and Laboratory MedicineCharleston, South Carolinap>• 35% - OurDay (WorkDay) Procurement: Within the OurDay system, submits requisitions for purchase requests, attaching purchase approvals, quotes, and other documentation as required by purchase type to include equipment, supplies and services with a 24-hour period. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees.12Resume ResourcesFree Resume TemplatesFree Resume Builder
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Mount Pleasant, SCli>Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Ophthalmology Medical Biller & Coder Carolina Macula and RetinaOphthalmology Medical Biller & CoderCharleston, SC$20–$25 / hourThis role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization. You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up.
Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)North Charleston, SCREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Nurse Practitioner or Physician Assistant - Burn Surgery Medical University of South CarolinaNurse Practitioner or Physician Assistant - Burn SurgeryCharleston, SCli>Provides timely, courteous, and efficacious care to patient; examine, diagnose, prescribe treatments and medications, performs or orders tests and/or procedures for a variety of diseases and injuries using applicable medical instruments and equipment within the healthcare delivery system, referring to medical specialist for consultation and communicating with patients' primary physicians as indicated. The Clinical Thermal Injury Specialist Advanced Practiced Provider (APP) provides patient centered healthcare utilizing a holistic and multidisciplinary approach to deliver state of the art care to patients with thermal injury and other skin and soft tissue disorders.
Patient Access Associate Specialist Ensemble Health PartnersPatient Access Associate SpecialistMount Pleasant, SCJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistSummerville, SCp>Job Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNSummerville, SC$17–$18.15 / hourJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Associate Specialist - Part-time Ensemble Health PartnersPatient Access Associate Specialist - Part-timeCharleston, South Carolinaul>Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Employment Disclaimers – Ensemble.
Patient Access Associate Specialist - PRN Ensemble Health PartnersPatient Access Associate Specialist - PRNMount Pleasant, South Carolinaul>Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Employment Disclaimers – Ensemble.
PRN - Patient Access Associate Specialist Ensemble Health PartnersPRN - Patient Access Associate SpecialistNorth Charleston, SCp>Job Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Guest Experience Specialist - CHS Signature Aviation LtdGuest Experience Specialist - CHSNorth Charleston, SCThis is a dynamic, hands-on position that requires flexibility to work varied schedules, including nights, weekends, and holidays, and the ability to operate in both indoor and outdoor environments, often near active aircraft and ground service equipment. Whether you're greeting a VIP traveler, supporting a flight crew, or coordinating services behind the scenes, you bring grace under pressure and attention to detail that ensures every visit is smooth, comfortable, and memorable.
Hospital Coding Specialist II (Observation) West Virginia University MedicineHospital Coding Specialist II (Observation)SCol>Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
Medical Records Specialist HCA HealthcareMedical Records SpecialistCharleston, SCp/>As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
NewBranch Coordinator, Home Health CenterWellBranch Coordinator, Home HealthCharleston, South CarolinaOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
NewBranch Coordinator, Home Health Humana IncBranch Coordinator, Home HealthNorth Charleston, SC$39,000–$49,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Insurance AR Specialist - Remote Surgical Information Systems LLCInsurance AR Specialist - RemoteCharleston, SCRemoteFor ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.
Compliance Auditor Medical University of South CarolinaCompliance AuditorCharleston, SCThe audit scope includes a) the regulatory and industry research needed for audit planning, b) pre and post audit meetings with stakeholders, c) cohesive audit report that communicates results and includes a corrective action plan if warranted, and d) education and training to stakeholders as needed. Education requirements: Bachelor"s degree in a related field and a minimum of 2 years of medical billing, coding, and or audit experience or high school diploma or equivalent (GED) and 4 years of medical billing, coding, and or audit experience required; college degree preferred.
UNIV - Administrative Coordinator I - Department of Ophthalmology Medical University of South CarolinaUNIV - Administrative Coordinator I - Department of OphthalmologyCharleston, South CarolinaMinimum Requirements: A high school diploma and four years relevant experience in business management, public administration or administrative services; or a bachelor's degree and two years experience in business management, public administration or administrative services. This role is critical to ensuring efficient clinic operations, accurate scheduling, timely patient communication, and seamless coordination among clinical teams, financial services, referral partners, and operating room staff.
UNIV - Administrative Coordinator I - Department of Ophthalmology MUSCUNIV - Administrative Coordinator I - Department of OphthalmologyCharleston, South CarolinaMinimum Requirements: A high school diploma and four years relevant experience in business management, public administration or administrative services; or a bachelor's degree and two years experience in business management, public administration or administrative services. This role is critical to ensuring efficient clinic operations, accurate scheduling, timely patient communication, and seamless coordination among clinical teams, financial services, referral partners, and operating room staff.
NewTravel Nurse RN - Outpatient Clinic - $1,756 per week in Charleston, SC Magnet MedicalTravel Nurse RN - Outpatient Clinic - $1,756 per week in Charleston, SCCharleston, SC$1,755.50–$1,755.50p>A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
NewPatient Access Representative II Medical University of South CarolinaPatient Access Representative IICharleston, South CarolinaBachelor’s degree from an accredited college/university; or a high school diploma or equivalent (GED) and two years of work experience in a Medical Office, Call Center, and/or customer service business environment and a minimum of 6 months satisfactory work experience in MUHA Patient Access, or at least 6 months of medical related work experience is required.If you like working with energetic enthusiastic individuals, you will enjoy your career with us!. Reviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries.
NewPatient Access Representative Medical University of South CarolinaPatient Access RepresentativeCharleston, South CarolinaReviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries. Reporting to the Patient Access Manager, the Patient Access Associate exhibits a high level of customer service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services.
NewPatient Access Representative MUSCPatient Access RepresentativeCharleston, South CarolinaReviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries. Reporting to the Patient Access Manager, the Patient Access Associate exhibits a high level of customer service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services.
NewPatient Access Representative II MUSCPatient Access Representative IICharleston, South CarolinaBachelor’s degree from an accredited college/university; or a high school diploma or equivalent (GED) and two years of work experience in a Medical Office, Call Center, and/or customer service business environment and a minimum of 6 months satisfactory work experience in MUHA Patient Access, or at least 6 months of medical related work experience is required.If you like working with energetic enthusiastic individuals, you will enjoy your career with us!. Reviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries.
Public Benefit Specialist Ensemble Health PartnersPublic Benefit SpecialistCharleston, SC$18.65–$20.50 / hourEssential Job Functions: Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions. Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
Credit Processor (WFH) Medical University of South CarolinaCredit Processor (WFH)Charleston, SCAbility to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances, and Epic system knowledge helpful.
UNIV – Fiscal Technician II – Pathology and Laboratory Medicine MUSCUNIV – Fiscal Technician II – Pathology and Laboratory MedicineCharleston, South Carolina$37,200–$48,300 / year35% - OurDay (WorkDay) Procurement: Within the OurDay system, submits requisitions for purchase requests, attaching purchase approvals, quotes, and other documentation as required by purchase type to include equipment, supplies and services with a 24-hour period. Physical Requirements: (Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift) Ability to perform job functions in an upright position.
Revenue Integrity Analyst MUSCRevenue Integrity AnalystCharleston, South Carolinap>The Revenue Integrity Analyst will perform internal quality assessment claim reviews to ensure compliance with federal, payer and internal Revenue Cycle policies to ensure complete, accurate and consistent resolution of claims being held due to edits assigned to Revenue Integrity for resolution, resulting from charging and/or reimbursement and data integrity. The Revenue Integrity Analyst will perform internal quality assessment claim reviews to ensure compliance with federal, payer and internal Revenue Cycle policies to ensure complete, accurate and consistent resolution of claims being held due to edits assigned to Revenue Integrity for resolution, resulting from charging and/or reimbursement and data integrity.
UNIV – Fiscal Technician II – Pathology and Laboratory Medicine Medical University of South CarolinaUNIV – Fiscal Technician II – Pathology and Laboratory MedicineCharleston, South Carolinap>• 35% - OurDay (WorkDay) Procurement: Within the OurDay system, submits requisitions for purchase requests, attaching purchase approvals, quotes, and other documentation as required by purchase type to include equipment, supplies and services with a 24-hour period. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees.