Billing Compliance Specialist Ogletree DeakinsBilling Compliance SpecialistGreenville, South CarolinaRemote$76,820–$116,574 / yearFull timeThe Billing Compliance Specialist is responsible for ensuring accurate matter rate and discount setup, timekeeper proposals, new timekeeper rate setup, rate updates and working timekeeper lists. Assist eBilling Appeals team, Billing Attorneys and Billing Specialists to address invoice reductions and appeals for assigned invoice submissions.
PFS Billing Representative, FT, Days Prisma HealthPFS Billing Representative, FT, DaysGreenville, South CarolinaEffectively and timely identifies the root cause of non-payment denials and works with the insurance company, the patient and Prisma Health departments to find resolution to claim denials, making all necessary claim and account corrections to ensure the full reimbursement of services rendered. Works and processes the Billing functions, including resolving the Discharged Not Final Billed/Stop Bill errors that prevented the account from billing, the resolution of Claim Edits in order to submit to our Claims Clearinghouse for electronic submission.
Professional Billing Quality Coding Auditor, FT, Days, Prisma HealthProfessional Billing Quality Coding Auditor, FT, Days,Greenville, South CarolinaPerforms multi-specialty reviews for the Medical Group validating the CPT, ICD-10, modifiers and HCPCS codes using official coding guidelines and CMS guidelines and prepares a summary of findings. Knowledge of medical terminology and basic anatomy and physiology with the ability to apply coding concepts to ensure correct coding.
E-Billing Specialist Fox RothschildE-Billing SpecialistGreenville, SCAs a member of the Finance Department, the Electronic Billing (E-Billing) Specialist is responsible for processing client bills, answering billing inquiries and assisting in the monitoring and follow-up of related billing functions. Monitor e-billing daily for new invoices and rejections; review daily new timekeeper report for new timekeepers that may need to be submitted for approval.
Billing Representative (Temp-to-Hire) Greenville WaterBilling Representative (Temp-to-Hire)Greenville, SCPerforms accounts receivable duties, including but not limited to receiving, posting and balancing debits and credits; auditing, correcting and balancing totals; auditing and correcting computer print-outs; journals; making electronic transfers daily to banking institutions; updating cash batch; excel reports for various departments of daily and monthly totals, etc. Receives, reviews, prepares and/or submits various records and reports including change reports, edit listings, checks, balance reports, new connection lists, charts, excel reports, spreadsheets, remittance applications, summaries, other lists and forms, correspondence, and service orders related to problem meters and/or questionable reading and dates.
Billing Specialist Ogletree DeakinsBilling SpecialistGreenville, South CarolinaRemote$58,874–$89,575 / yearFull timeEssential Functions: Invoice Management: Accurately prepare and process client invoices within deadlines, including editing, transfers, write-offs, and adjustments to fee or cost entries. Documentation: Maintain up-to-date client-matter-specific billing procedures, attorney preferences, and prepare necessary spreadsheets for tracking supplemental billing, fee caps, volume discounts, expenses, etc. and other additional documentation if needed.
Buy and Bill Procurement Lead Crossroads Treatment CentersBuy and Bill Procurement LeadGreenville, South CarolinaCrossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. Track incidents and monitors data quality, partnering with Buy & Bill, Operations, Revenue Cycle Management (RCM), and other teams to identify issues and implement solutions.
NewAmbulatory Coder III, Professional Billing, PT, Days, Prisma HealthAmbulatory Coder III, Professional Billing, PT, Days,Greenville, South CarolinaCommunicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings.
Security Client Billed Clerical - Trainer Allied UniversalSecurity Client Billed Clerical - TrainerGreenville, South CarolinaThis Security Trainer will train CPR/First Aid/AED, Defensive Tactics (e.g., handcuffs, pepper spray, batons, Tasers, firearms), Mobility Devices (e.g., vehicles, bicycle, golf cart, Segway), Fire Safety Services (emergency plans; occupants, floor wardens and staff presentations; and evacuation drills), and other value-added services such as workplace violence/active shooter training. Instructor certifications in supplement training areas as required by local office (i.e., OC Spray, Baton Techniques, Handcuffing, Crisis Prevention Intervention (CPI), Defensive Tactics, Taser certification, Practical Driver Training Courses, or any other client-specific training as required).
Epic Intelligence Developer, Physician & Hospital Billing, FT, Variable, - Hybrid Prisma HealthEpic Intelligence Developer, Physician & Hospital Billing, FT, Variable, - HybridGreenville, South CarolinaExpertise in developing interactive and visually compelling dashboards, reports, and visualizations using utilizing Cogito or similar business intelligence tools. Fosters strong collaborative relationships with various Epic application teams across the organization to share insights, gather requirements, and identify opportunities for improved reporting solutions.
Epic Analyst, Community Connect Professional Billing, FT, Days, Prisma HealthEpic Analyst, Community Connect Professional Billing, FT, Days,Greenville, South CarolinaIn lieu of the educational and experience requirements listed above, an Associate degree in Computer Science or related field of study and four (4) years of related Information Technology experience in a Business Computer Science, or health care setting may be considered. In lieu of the educational and experience requirements listed above, a High School Diploma or equivalent and seven (7) years related Information Technology experience in a business, computer science, or health care setting may be considered.
Remote Sr Epic Application Coordinator (Professional Billing) Spartanburg Regional Medical CenterRemote Sr Epic Application Coordinator (Professional Billing)Spartanburg, SCRemoteThe Remote Sr Epic Application Coordinator- Professional Billing takes a lead role in designing, improving, and supporting Epic applications that directly affect surgical, procedural, and anesthesia workflows across the health system. The Remote Sr Epic Application Coordinator- Professional Billing also mentors Application Coordinators and System Analysts, brings creative problem solving to challenging issues, and helps lead the implementation of new functionality.
Sr. Clinic Office Specialist, FT, Days Prisma HealthSr. Clinic Office Specialist, FT, DaysGreenville, South CarolinaAssists patients in completing all necessary forms to obtain hospitalization or Surgical precertification from insurance companies, including waivers for cases where pre-certification is required but not yet obtained. In lieu of education and experience noted above, an equivalent combination of work/academic experience may be considered (i.e., four years related work experience or Bachelor's degree in Healthcare or Business).
Account Specialist, FT, Days Prisma HealthAccount Specialist, FT, DaysGreer, South CarolinaAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Provides training to front office staff when hired and retraining as needed or requested with regard to a specific payer rules and guidelines for physician billing.
NewAccount Specialist F/T Day Prisma HealthAccount Specialist F/T DayGreer, South CarolinaAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Provides training to front office staff when hired and retraining as needed or requested with regard to a specific payer rules and guidelines for physician billing.
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.
Customer Service Specialist ActivStyleCustomer Service SpecialistBrevard, NCFollowing acceptance of any job offer, at the start of employment the employer will provide the federal government Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify is unable to verify your eligibility for employment this employer will provide written instructions to provide an opportunity to contact the appropriate agencies and resolve the discrepancy prior to taking any action against continued employment. In this role, you'll serve as a trusted resource for our clients, helping them obtain vital products such as incontinence supplies, urological products, and other personal care essentials delivered directly and discreetly to their homes.
RCM Patient Accounts Receivable Specialist Ob Hospitalist GroupRCM Patient Accounts Receivable SpecialistGreenville, SCRemote$22–$25 / hourAbout the Position: The RCM Patient Accounts Receivable Specialist plays a key role within the Revenue Cycle Management team and is responsible for supporting the reduction of accounts receivable (AR) days, increasing net collections, reducing aged AR balances (120+ days), and improving overall cash collections. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!
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.
NewFinancial Coordinator - Transplant Program F/T Day Prisma HealthFinancial Coordinator - Transplant Program F/T DayGreenville, South CarolinaPresents in-services to transplant staff, hospital staff, and physician office staff regarding managed care updates and assists in development and implementation of communications systems to send and to receive clinical and financial data between payors and patients referring physicians, transplant physicians, and payors. This includes determining the patient’s benefits available for evaluation, pre-transplant maintenance, Transplant admission, and post-transplant follow-up care; obtaining inpatient and outpatient authorizations for hospital and physician services; and ensuring necessary communication occur between the payor, and the facility for appropriate and accurate billing and reimbursement of services.