Billing/ Coding Administrator Carolina Macular and Retinal CareBilling/ Coding AdministratorMount Pleasant, SC$20–$25 / hourJoin a physician-led retina practice where your coding expertise directly impacts patient care and practice performance. This role offers stable hours, a small team environment, and the opportunity to expand your skills beyond routine charge entry.
Ophthalmology Medical Biller & Coder Carolina Macula and RetinaOphthalmology Medical Biller & CoderCharleston, SC$20–$25 / hourFull timeThis 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.
UNIV - Hearing Aid Reimbursement and Payer Relations Specialist - Department of Otolaryngology MUSCUNIV - Hearing Aid Reimbursement and Payer Relations Specialist - Department of OtolaryngologyCharleston, South CarolinaThis role verifies insurance benefits, interprets coverage policies, supports prior authorizations, ensures accurate coding and claim submission, and mitigates denials. 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.
UNIV - Hearing Aid Reimbursement and Payer Relations Specialist - Department of Otolaryngology Medical University of South CarolinaUNIV - Hearing Aid Reimbursement and Payer Relations Specialist - Department of OtolaryngologyCharleston, South CarolinaThis role verifies insurance benefits, interprets coverage policies, supports prior authorizations, ensures accurate coding and claim submission, and mitigates denials. 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.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Mount Pleasant, SCRequests 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.
Business Office Manager PACS GroupBusiness Office ManagerCharleston, South CarolinaIf you thrive in a fast-paced environment, love problem-solving, and enjoy working with a supportive healthcare team — we’d love to meet you! We are looking for an organized, detail-oriented, and energetic Business Office Manager to lead the financial and administrative operations of our facility.
Business Office Manager PACS Group IncBusiness Office ManagerCharleston, SCIf you thrive in a fast-paced environment, love problem-solving, and enjoy working with a supportive healthcare team - we'd love to meet you! We are looking for an organized, detail-oriented, and energetic Business Office Manager to lead the financial and administrative operations of our facility.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Charleston, SCRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Program Integrity Investigator TriWest Healthcare AllianceProgram Integrity InvestigatorCharleston, SCRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementCharleston, SCRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
NewCertified Fitter - Oncology - West Ashley Cancer Center Roper St. Francis HealthcareCertified Fitter - Oncology - West Ashley Cancer CenterCharleston, South CarolinaPromotes competency and enhancement of post-mastectomy professional practice to contribute to the profession’s body of knowledge which includes, but is not limited to, participation in: continuing education, promotion of public awareness of the post-mastectomy profession, consumer organizations, governmental and non-governmental organizations. The Certified Fitter in the Healing Boutique is responsible for garment fittings, including stockings and other durable medical equipment items, breast prosthesis and post mastectomy services as deemed medically necessary by physician orders.
Nurse Practitioner Hospice PRN Amedisys, Inc.Nurse Practitioner Hospice PRNCharleston, South CarolinaPer diemOverview: Make a difference every day as an Amedisys PRN nurse practitioner Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Must meet physician-nurse practitioner restrictive collaborative requirements specific to state assigned to work by the Company and supply a copy of all active collaborating physician agreements and indicate whether these will be transferable to your employment with Amedisys.
UNIV - Administrative Coordinator I - Surgery: Transplant Surgery MUSCUNIV - Administrative Coordinator I - Surgery: Transplant SurgeryCharleston, South Carolina$39,300–$53,100 / yearA 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. 15% - Manages the administrative tasks related to the research efforts of the Division of Transplant Surgery, which includes assistance with grant submission; the typing of manuscripts; and any special requirements needed by faculty and staff.
UNIV - Administrative Coordinator I - Surgery: Transplant Surgery Medical University of South CarolinaUNIV - Administrative Coordinator I - Surgery: Transplant SurgeryCharleston, South CarolinaA 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. 15% - Manages the administrative tasks related to the research efforts of the Division of Transplant Surgery, which includes assistance with grant submission; the typing of manuscripts; and any special requirements needed by faculty and staff.
Patient Services Coordinator III Novant HealthPatient Services Coordinator IIIMount Pleasant, South CarolinaAdditional Skills Required: Knowledge of medical office software for the following: updating patient demographic information, posting charges, copays, and scheduling patient appointments. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.
Patient Services Coordinator III- Mt. Pleasant Novant Health IncPatient Services Coordinator III- Mt. PleasantMount Pleasant, SCAdditional Skills Required: Knowledge of medical office software for the following: updating patient demographic information, posting charges, copays, and scheduling patient appointments. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.
Customs Entry Writer Johnson Service GroupCustoms Entry WriterLadson, SCRemoteThe Customs Entry Writer plays a critical role in ensuring seamless import and export operations, maintaining compliance with U.S. Customs regulations, and supporting overall trade operations. Johnson Service Group, a leading professional recruiting firm, is seeking a Customs Entry Writer with CargoWise for a remote opportunity with a highly reputable customs broker.
UNIV - Research Program Coordinator I - Journey - Department of PHS MUSCUNIV - Research Program Coordinator I - Journey - Department of PHSCharleston, South CarolinaUnder the direct supervision of the Vice Chair for Research, Program Director and Program Coordinator II (PCII), the Program Coordinator I (PCI) will assist research investigators in the initiation, coordination, and management of clinical research trials and thus has a significant contribution to ensure assurance of sustainability, efficiency, and compliance. Ethics and Participant Safety 10% Under direction provides data for external monitoring reports and/or facilitates completion of documents related to Research Data Security Plans, Data Safety and Monitoring Plans, and Conflict of Interest.
UNIV - Research Program Coordinator I - Journey - Department of PHS Medical University of South CarolinaUNIV - Research Program Coordinator I - Journey - Department of PHSCharleston, South CarolinaUnder the direct supervision of the Vice Chair for Research, Program Director and Program Coordinator II (PCII), the Program Coordinator I (PCI) will assist research investigators in the initiation, coordination, and management of clinical research trials and thus has a significant contribution to ensure assurance of sustainability, efficiency, and compliance. Ethics and Participant Safety 10% Under direction provides data for external monitoring reports and/or facilitates completion of documents related to Research Data Security Plans, Data Safety and Monitoring Plans, and Conflict of Interest.
Practice Manager - Storm Eye Institute - MUSCP Medical University of South CarolinaPractice Manager - Storm Eye Institute - MUSCPCharleston, South CarolinaAbility 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. Skilled in personnel management, organizing, planning, exercising initiative, judgment, problem solving, decision-making, development and maintaining effective relationships with providers, clinical and clerical staff, patients and the public.