Hybrid Medical Billing: Claims Specialist - Greenville, SC

Hybrid Medical Billing:

Claims Specialist - Greenville, SC 4.3 4.3 out of 5 stars 200 200 East Broad Street, Greenville, SC 29601 Full-time Crossroads Treatment Centers 655 reviews Full-time Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. 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. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients. Day in the Life of a Claims Specialist Accurately enter patient charges, diagnoses (ICD-10), procedures (CPT/HCPCS), modifiers, and units into billing systems. Review charge documents for completeness, accuracy, and compliance prior to entry. Identify and correct errors, discrepancies, and duplicate charges before claim submission. Ensure charges align with provider documentation and payer requirements. Maintain productivity and quality standards while meeting daily deadlines, especially during end-of-month (EOM). Communicate effectively with internal teams (coding, billing, AR, leadership) to resolve charge-related issues. Follow HIPAA guidelines and protect patient confidentiality at all times. Adhere to departmental workflows, policies, and compliance standards. Participate in audits, quality reviews, and ongoing training as assigned. Education and Experience requirements High school diploma or equivalent. High attention to detail and accuracy. Strong knowledge of medical terminology, CPT, ICD-10, and basic billing rules. Ability to work efficiently in high-volume environments. Proficiency in billing systems and electronic health records (e.g., Medgen, CareLogic, or similar). Strong time management, organization, and communication skills. Ability to work independently and collaboratively as part of a team. Previous experience in healthcare charge entry, billing, or revenue cycle. Understanding of payer guidelines and claim submission processes. Experience meeting productivity and quality metrics Working knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility. Position Benefits Have a daily impact on many lives . Excellent training if you are new to this field. Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate. Opportunity to save lives every day! Benefits Package Medical, Dental, and Vision Insurance PTO Variety of 401K options including a match program with no vesture period Annual Continuing Education Allowance (in related field) Life Insurance Short/Long Term Disability Paid maternity/paternity leave Mental Health day Calm subscription for all employees