Medical Billing Specialist

Job Description

Job Description

We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in Greenville, South Carolina. This position requires expertise in processing medical claims, managing accounts receivable, and ensuring compliance with industry standards. The ideal candidate will contribute to the efficiency of the billing department while maintaining confidentiality and upholding the reputation of the practice.

Responsibilities :

• Establish and monitor payment arrangements with patients to manage delinquent accounts effectively.
• Follow up on missed payments and utilize collection agencies or legal avenues as necessary.
• Track and compile Medicare bad-debt cost reports to ensure accurate documentation and compliance.
• Initiate estate-related claims by coordinating with legal departments and court officials.
• Set up payroll deductions and secure automatic payment transfers for outstanding balances.
• Interview pre-delivery patients to establish payment plans and send monthly statements for obstetrical care.
• Adhere to established policies and procedures to maintain smooth billing operations and compliance.
• Protect sensitive information by maintaining confidentiality in all collection-related matters.
• Stay updated on industry practices and standards through ongoing educational opportunities.
• Support the clinical and billing community by ensuring adherence to federal, state, and local regulations.
• Proficiency in medical billing systems such as Allscripts, Cerner Technologies, and Dynamic Data Exchange (DDE).
• Experience with electronic health records (EHR) systems and claims administration.
• Strong knowledge of accounts receivable processes and billing functions.
• Ability to handle appeals and manage benefit-related functions efficiently.
• Skilled in analyzing and resolving billing discrepancies.
• Familiarity with compliance standards and regulations in healthcare billing.
• Excellent organizational and communication skills.
• Ability to maintain confidentiality and work effectively in a team-oriented environment.