Billing Specialist 3MS ServicesBilling SpecialistGastonia, North CarolinaThis role ensures the accurate, timely, and compliant processing of Medicaid and MCO claims for services delivered under the NC 1915(i) and 1915(c) waiver programs, including Residential Supports, Community Living & Supports, Day Supports, Community Networking, Respite, and other habilitative services. As a Medicaid Billing Specialist, you will be responsible for reviewing service documentation, verifying authorizations, reconciling units, and processing weekly billing across multiple MCOs such as Alliance Health, Partners BHM, Vaya, Sandhills, Eastpointe, and others.
Medical Billing Specialist Foothills Billing Solutions LLCMedical Billing SpecialistLincolnton, NCFull timeIf you enjoy problem-solving, staying organized, and being part of a supportive small business where your work truly matters, we’d love to meet you! We genuinely appreciate the people who help us succeed and believe in recognizing hard work.
Billing Specialist 3MS Services LLCBilling SpecialistBoogertown, NCWhy Choose Us: Modern Office Setting that fosters collaboration and creativity Opportunities for Growth: We are committed to helping you grow both professionally and personally Field Work that lets you make a direct impact on the lives of individuals in your community Competitive Pay & Benefit s 3M’s Services LLC The Medicaid Billing Specialist is a vital part of the Finance and Compliance infrastructure at 3M’s Services LLC. This role ensures the accurate, timely, and compliant processing of Medicaid and MCO claims for services delivered under the NC 1915(i) and 1915(c) waiver programs, including Residential Supports, Community Living & Supports, Day Supports, Community Networking, Respite, and other habilitative services.
Billing Specialist York County Council on Alcohol and Drug AbuseBilling SpecialistRock Hill, South Carolina$20–$22 / hour2. Has primary responsibility for accurate entry and monitoring of payments and Electronic Remittances into the CareLogic system; 3. Works closely with administrative staff and clinical staff to facilitate timely payer authorizations and claims processing as assigned by Billing Coordinator. We offer internationally accredited and licensed services including education, prevention and treatment to meet the needs of individuals, families, and groups that are experiencing alcohol and/or drug related problems.
BILLING SPECIALIST FINANCIAL SERVICES/ACCOUNTS RECEIVABLE City of GastoniaBILLING SPECIALIST FINANCIAL SERVICES/ACCOUNTS RECEIVABLEGastonia, NC$48,859.20–$78,145.60 / yearA thorough knowledge of the Citys utility billing software; a thorough knowledge of utility billing policies and procedures; a demonstrated ability to analyze and prepare complicated reports for both inside and outside users; a demonstrated ability to assess, evaluate and find solutions for billing, meter reading and customer service issues; a demonstrated ability to maintain effective working relationships and communications with City officials, the general public and co-workers. The conditions the worker will be subject to in this position: None: The worker is not substantially exposed to adverse environmental conditions (such as in a typical office or administrative work environment).
Billing Specialist United Surgical Partners InternationalBilling SpecialistRock Hill, SCA diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States.
Medical Claims Specialist Foothills Billing Solutions LLCMedical Claims SpecialistLincolnton, NCFull timeWe are seeking a professional, detail-oriented Medical Claims Specialist who excels in phone communication, written correspondence, and insurance claim follow-up to join our in-house team. Answer inbound phone calls from patients and providers regarding billing questions, claim status, and account concerns with professionalism and clarity.
NewSenior Compliance Audit Specialist Spartanburg Regional Healthcare SystemSenior Compliance Audit SpecialistSpartanburg, SCAdministers the process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the organization''s E&M compliance and resolves customer concerns and complaints regarding specific E&M services and provides supporting information to providers, practices and patient financial services, as appropriate. Develops methodologies to assess data elements to support E&M compliance for providers through analysis of billing and utilization patterns, performs routine, and focus audits and develops comprehensive educational sessions to improve performance based on the findings, as appropriate.
NewSenior Compliance Audit Specialist Spartanburg Regional Medical CenterSenior Compliance Audit SpecialistSpartanburg, SCAdministers the process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the organization's E&M compliance and resolves customer concerns and complaints regarding specific E&M services and provides supporting information to providers, practices and patient financial services, as appropriate. Develops methodologies to assess data elements to support E&M compliance for providers through analysis of billing and utilization patterns, performs routine, and focus audits and develops comprehensive educational sessions to improve performance based on the findings, as appropriate.
Specialist-Sr Denials Management (Remote) Spartanburg Regional Medical CenterSpecialist-Sr Denials Management (Remote)Spartanburg, SCRemoteOnly Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin. Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid, Managed Care plans etc.
Specialist-Sr Denials Management (Remote) Spartanburg Regional Healthcare SystemSpecialist-Sr Denials Management (Remote)Spartanburg, SCRemoteOnly Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin. Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid, Managed Care plans etc.
Compliance Audit Specialist (Hybrid) Spartanburg Regional Medical CenterCompliance Audit Specialist (Hybrid)Spartanburg, SCWith more than 10,800 employees and 1,000+ providers, SRHS delivers advanced care through multiple hospitals, specialty centers, and a Level I Trauma Center. Spartanburg Regional Healthcare System (SRHS) is a not-for-profit, integrated health network serving communities in South Carolina and North Carolina for over 100 years.
Specialist-Operations Whsc Spartanburg Regional Medical CenterSpecialist-Operations WhscSpartanburg, SCIn addition to coordinating referrals this position will have other administrative duties including ensuring that all clinical paperwork is complete and scanned into the client portal multiple times a day, sending clients requested records, and assisting the Drug Screen Coordinator with the administrative tasks associated with this service line. Minimum of three (3) years of healthcare related experience with one of a combination of the following: patient finance, insurance benefits, financial assistance programs, public health, social services, administrative support or other health related experience.
NewSpecialist-Denials Management (Remote) Spartanburg Regional Medical CenterSpecialist-Denials Management (Remote)Spartanburg, SCRemoteOnly Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin. Communicate all denial trends and denial increases to direct supervisor/manager in order to positively affect the volume of denials.
Specialist-Operations WHSC Spartanburg Regional Healthcare SystemSpecialist-Operations WHSCSpartanburg, SCIn addition to coordinating referrals this position will have other administrative duties including ensuring that all clinical paperwork is complete and scanned into the client portal multiple times a day, sending clients requested records, and assisting the Drug Screen Coordinator with the administrative tasks associated with this service line. Minimum of three (3) years of healthcare related experience with one of a combination of the following: patient finance, insurance benefits, financial assistance programs, public health, social services, administrative support or other health related experience.
Specialist-Denials Management (Remote) Spartanburg Regional Healthcare SystemSpecialist-Denials Management (Remote)Spartanburg, SCRemoteOnly Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin. Communicate all denial trends and denial increases to direct supervisor/manager in order to positively affect the volume of denials.
Ryan White Program Manager Affinity Health CenterRyan White Program ManagerRock Hill, South CarolinaUnder the supervision of the Chief Operations Officer, the Ryan White Program Manager serves as a subject matter expert for the Health Resources & Services Administration (HRSA) administered Ryan White HIV/AIDS Program. This role is a valuable member of AHC leadership team and will oversee AHC’s Prevention and Medical Case Management (MCM) teams and ensure strong relationships with AHC clinic, accounting, and patient access, teams.
medical office assistant Kings Clinic and Urgent Care PLLCmedical office assistantKings Mountain, NCFull timeKings Clinic and Urgent Care PLLC in Kings Mountain, NC is looking for a motivated and compassionate Medical Office Assistant to join our growing healthcare team. Kings Clinic and Urgent Care PLLC is a trusted healthcare provider serving the Kings Mountain, NC community with compassionate, high-quality medical care.
NewProvider Enrollment Specialist Spartanburg Regional Medical CenterProvider Enrollment SpecialistSpartanburg, SCThis position will work directly with credential teams and payers as well as our employed physicians and advanced practice clinicians to ensure all applications are completed within specified time periods. Maintain enrollment information within the credentialing database and pull reports for hospital administration, marketing, professional billing staff, and clinic directors/managers, as needed.
Patient Access Specialist-Regional Rehab Operations Spartanburg Regional Medical CenterPatient Access Specialist-Regional Rehab OperationsSpartanburg, SCThe Patient Access Specialist position receives, coordinates and implements the initial patient experience by providing critical functions essential to ensuring proper clinical treatment, billing and reimbursement, patient satisfaction as well as efficient and accurate handling of the patient registration process. Accurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information required for clinical and billing functions for every patient encounter.