Billing Specialist

Billing Specialist

Located in the heart of Anderson, South Carolina , AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful :

To provide exceptional and compassionate care to all we serve.

AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here.

Responsible for handling billing for physician services, filing insurance, posting payments, and bank deposits. Acts as the primary contact for patients as related to account information. Prepares and files electronically or hardcopy claims. Stays current of all Government / State / HIPPA, etc., rules and regulations pertaining to compliance in billing. Responsible for researching denials and initiating appeals, when necessary. Scans and indexes all patient information accurately and in a timely manner. Balances cash, patient payments, and GL entries to accounting reports daily. Must be able to interact with patients and the general public respectfully and professionally. Maintains and exhibits a positive, supportive and safety conscious attitude to promote a good work environment.

Duties & Responsibilities

• Maintains knowledge of Government, State, HIPPA, and Commercial Insurance / Managed Care, rules, and regulations governing billing compliance.
• Maintains provider billing information so claims can be successfully processed and transmitted to third party payers.
• Work with internal resources, clearing house vendor(s), and payers to ensure all provider information is up to date to ensure in both AnMed Health and third-party receiving systems.
• Analyze, research, and independently resolve claim submission edits by obtaining information from the medical record and applying CMS rules and regulations, CPT coding guidelines, and departmental policies and procedures.
• Ensure claims are submitted in the proper format and to the correct destination as defined by the requirements in the facility’s various Third-Party Payer contracts.
• Resolve issues with payer sources, reporting any ongoing problems to the appropriate manager or supervisor.

Qualifications

Preferred Qualifications

Benefits

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