PFS Billing Representative, FT, Days Prisma HealthPFS Billing Representative, FT, DaysGreenville, SCEffectively 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.
PFS Billing Rep, FT, Days Prisma HealthPFS Billing Rep, 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.
Billing Specialist Agape Care GroupBilling SpecialistSpartanburg, SCAs a regional leader in hospice and palliative care, Agape Care Group proudly serves patients through its family of care providers - Agape Care South Carolina, Georgia Hospice Care, Hospice of the Carolina Foothills in North Carolina, and ACG Hospice in Alabama, Kansas, Louisiana, Missouri, Oklahoma, and Virginia. Must be discreet and maintain HIPAA and confidentiality in the workplace TRANSPORTATION: Reliable Transportation - IN OFFICE ROLE - 187 North Church St. Suite 201 Spartanburg, SC 29306 HEALTH STATUS: Meets all applicable agency policies and procedures related to health screening and required testing.
Billing Specialist Retina Consultants Of Carolina PABilling SpecialistGreenville, SCStay informed of Medicare Local Coverage Determination and National Coverage Determination as related to our services. Opportunity to join a growing retina practice that performs all of our billing operations in house.
Insurance Billing Specialist (Remote) Spartanburg Regional Healthcare SystemInsurance Billing Specialist (Remote)Spartanburg, SCRemoteResponsible for all pre-bill edits and claim scrubber edits for accuracy and compliance with all government and commercial carriers billing guidelines before releasing for submission to payers. Exhibit good professional communication and customer service skills at all times while working with coworkers and employees in multiple departments within the system.
Hybrid Medical Billing: Claims Specialist - Greenville, SC Crossroads Treatment CentersHybrid Medical Billing: Claims Specialist - Greenville, SCGreenville, 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. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia.
Remote AR Specialist - Medical Billing Crossroads Treatment CentersRemote AR Specialist - Medical BillingGreenville, South CarolinaRemoteUtilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types, including but not limited to professional claims, governmental and/or non-governmental claims, denied claims, aged accounts, high priority accounts, high dollar accounts, reimbursements, credits, etc. Crossroads 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.
Specialist-Insurance Billing Spartanburg Regional Healthcare SystemSpecialist-Insurance BillingSpartanburg, SCResponsible for all pre-bill edits and claim scrubber edits for accuracy and compliance with all government and commercial carriers billing guidelines before releasing for submission to payers. Exhibit good professional communication and customer service skills at all times while working with coworkers and employees in multiple departments within the system.
Billing Specialist - Audit/ Claims Review AnMed HealthBilling Specialist - Audit/ Claims ReviewAnderson, SCLocated in the heart ofAnderson, South Carolina,AnMedis a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. 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.
Sr. Billing Specialist Ogletree DeakinsSr. Billing SpecialistGreenville, South Carolina$58,656–$87,984 / yearEssential 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.
Billing Specialist - Shared Services Insurance Office of AmericaBilling Specialist - Shared ServicesGreenville, SCRemote$40,000–$60,000 / yearFull timePlease 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. The Billing Specialist plays a critical role in supporting financial operations while delivering consistent, high‑quality results within established turnaround timelines.
Professional Billing QA Specialist & Trainer AnMed HealthProfessional Billing QA Specialist & TrainerAnderson, SCUnder the general supervision of the Director of Professional billing, the QA/trainer is responsible for daily review of the integrity of the billing, follow-up and customer service areas through audits of completed work by teammates. Qualifications: Associates or higher degree required, but will consider appropriate experience in Healthcare, Business Services or Patient Access Services.
Single Billing Office Customer Service Representative, FT, Days, - Remote Prisma HealthSingle Billing Office Customer Service Representative, FT, Days, - RemoteGreenville, SCRemoteResponsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist.
Ambulatory Coder II Professional Billing, FT, Days, Prisma HealthAmbulatory Coder II Professional Billing, FT, Days,Greenville, South CarolinaResponsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Education - High School diploma or equivalent or post-high school diploma / highest degree earned.
Ambulatory Coder II Professional Billing, FT, Days, - Remote Prisma HealthAmbulatory Coder II Professional Billing, FT, Days, - RemoteGreenville, SCRemoteResponsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Education - High School diploma or equivalent or post-high school diploma / highest degree earned.
Billing Integrity Analyst OB Hospitalist Group IncBilling Integrity AnalystGreenville, SC$24–$29 / hourThe Billing Integrity Analyst will work cross-functionally with coding, managed care, payer enrollment, and external vendor partners to optimize billing accuracy, reduce denials, and improve overall financial performance. Location: This position is primarily remote; however, candidates need to reside in the Upstate South Carolina region and be available to attend occasional meetings or business needs at the Greenville, SC Corporate Headquarters.
Senior CABS Billing Analyst Lumos Networks Corp.Senior CABS Billing AnalystGreenville, 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.
Accounts Receivable/Billing Manager Godshall RecruitingAccounts Receivable/Billing ManagerGreenville, SC$60,000–$75,000 / yearTo be a champion in this role, you will need: 2+ years' experience successfully supervising/managing a team . 40-hour business day schedule with flexible start time and an option for Friday afternoons off .
Billing Coordinator Cherry Bekaert LLPBilling CoordinatorGreenville, SC$18–$26 / hourIn addition, we offer a comprehensive, high-quality benefits program which includes annual bonus, medical, dental, and vision care; disability and life insurance; generous Paid Time Off; retirement plans; Paid Care Leave; and other programs that are dedicated to enhancing your personal and work life and providing you and your family with a measure of financial protection. This role supports partners and bill managers by preparing and processing client invoices, maintaining data integrity across client management systems, running billing reports and researching prior invoices.
Epic Analyst, Community Connect Professional Billing, FT, Days, - Remote Prisma HealthEpic Analyst, Community Connect Professional Billing, FT, Days, - RemoteGreenville, SCRemoteIn 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 Healthcare SystemRemote 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.
Epic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full Time SolutionHealthEpic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full TimeSCEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Analyst-Billing Integrity (Remote) Spartanburg Regional Healthcare SystemAnalyst-Billing Integrity (Remote)Spartanburg, SCRemoteIf you provide content to customers through CloudFront, you can find steps to troubleshoot and help prevent this error by reviewing the CloudFront documentation. Generated by cloudfront CloudFront Request ID: yrnTFm1rqFQUT-GhSTbBKXU-C5EiQ3tbYpNgWn_tGclarYnkjTbV_A.
Clinic Office Specialist Sr. F/T Day Prisma HealthClinic Office Specialist Sr. F/T DayGreenville, SCAssists 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).
Specialist-Revenue Management (Remote) Spartanburg Regional Healthcare SystemSpecialist-Revenue Management (Remote)Spartanburg, SCRemoteResponsible for research and resolution of all outstanding patient and insurance credit accounts, any additional A/R management research and account updates required to ensure claims are filed to the appropriate carrier or posted correctly. Work closely with other departments on revenue integrity issues including variance contract build issues, charging issues, A/R type issues and other items as define.
Specialist-Collections II (remote) Spartanburg Regional Healthcare SystemSpecialist-Collections II (remote)Spartanburg, SCRemoteThe Collections Specialist is responsible for managing and collecting on accounts receivables for all insurance carrier plan services billed through the hospital/physician billing systems. 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.
Account Specialist, FT, Days Prisma HealthAccount Specialist, FT, DaysGreenville, SCAs 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.
Account Specialist - Ambulatory, Endocrinology, FT Prisma HealthAccount Specialist - Ambulatory, Endocrinology, FTGreenville, SCAs 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.
Hybrid Verification and Pre-Authorization Specialist Crossroads Treatment CentersHybrid Verification and Pre-Authorization SpecialistGreenville, 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. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia.
Customer Service Specialist ActivStyleCustomer Service SpecialistBrevard, NCIn this role, you’ll be the friendly voice and knowledgeable guide helping clients access essential products like incontinence supplies, urological items, and other personal care essentials—all delivered discreetly to their door. Following 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.
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 Healthcare SystemCompliance 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.
Senior Patient Access Specialist Ensemble Health PartnersSenior Patient Access SpecialistGreenville, SC$18.65–$19.90 / hourReviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information. Essential Job Functions: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.
Accounts Receivable Specialist Godshall RecruitingAccounts Receivable SpecialistDuncan, SC$23–$25 / hourWhat your future day will look like: Manage end to end invoicing for project and non-project work through Microsofts customer billing portal. To be a champion in this role, you will need: 3+ years of experience in Accounts Receivable or billing focused accounting roles.
Patient Access Associate Specialist Ensemble Health PartnersPatient Access Associate SpecialistGreenville, 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 Specialist Ensemble Health PartnersPatient Access SpecialistSimpsonville, South CarolinaPatient 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.
AR Specialist Medical Billing CenterAR SpecialistGreenville, South CarolinaIn this role, you’ll manage the full billing cycle, handle insurance claims and patient inquiries, and ensure timely payment collection—all while keeping things running smoothly behind the scenes. Company Story: Medical Billing Center is a Physical Therapist-led company focused on helping healthcare providers thrive through streamlined billing and collections.
Supply Specialist- Food Services AnMed HealthSupply Specialist- Food ServicesAnderson, SCEnsures and maintains accurate and up-to-date HACCP temperature records for the following areas: inspection of all trucks delivering food items, temperature of selected food items upon delivery and before actual storage of those food items. Working knowledge of quality control and quantity food production Intermediate computer skills including knowledge in word processing and spread sheets.
Specialist-Referral Spartanburg Regional Healthcare SystemSpecialist-ReferralGreer, SCReferral specialist handles the medical necessity review and pre-certification of services/procedures and coordinates with offices/facilities, companies, payers, financial assistance programs/resources and case managers; documenting appropriately with the medical record. Minimum of five 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.
Import Representative - Greer, SC Chase StaffingImport Representative - Greer, SCGreer, SCImport Experience: Minimum of 1-3 years of experience in import operations, preferably within a customs brokerage or a related industry, demonstrating a solid understanding of import processes, regulations, and documentation requirements. Customer Service: Strong customer service orientation, with the ability to provide exceptional service to clients, address their inquiries, and resolve any import-related issues efficiently.
Patient Access Specialist-MGC Medical Affiliates-North Grove Spartanburg Regional Healthcare SystemPatient Access Specialist-MGC Medical Affiliates-North GroveSpartanburg, 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.
NewAppeals Specialist Ogletree DeakinsAppeals SpecialistGreenville, South Carolina$65,770–$85,114 / yearThe position is responsible for all aspects of the appeals process, this includes an understanding of eBilling system requirements, providing information regarding reductions to attorneys and practice assistants, analyzing data to recommend areas for process improvement as well as, attorney training and following up on outstanding appeal responses. The eBilling Appeals Specialist is expected to handle appeal submissions, understand different billing scenarios, provide excellent service to clients, attorneys, and colleagues while producing a timely and accurate work product.
NewNeurology Account Specialist - (Greenville, SC) - (Field Based) EisaiNeurology Account Specialist - (Greenville, SC) - (Field Based)Greenville, SCExperience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems). E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States.
Patient Services Representative P/T Day Prisma HealthPatient Services Representative P/T DayGreenville, SCAs 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative F/T Day Prisma HealthPatient Services Representative F/T DaySimpsonville, SCAs 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, FT, Days Prisma HealthPatient Services Representative, FT, DaysEasley, SCAs 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative-Cherrydale F/T Day Prisma HealthPatient Services Representative-Cherrydale F/T DayGreenville, SCAs 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, PRN, Days Prisma HealthPatient Services Representative, PRN, DaysGreenville, SCAs 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative P/T Day - Bilingual Preferred Prisma HealthPatient Services Representative P/T Day - Bilingual PreferredGreer, SCAs 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, PT, Days, Fertility Center of the Carolinas Prisma HealthPatient Services Representative, PT, Days, Fertility Center of the CarolinasGreenville, SCAs 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. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.