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GR
Greenville Rheumatology & Allergy
Medical Billing Specialist
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Based on South Carolina data
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What they do
A Billing Specialist performs administrative work at financial institutions and banks that handle bills, receipts, and invoices. Manages the status of client accounts and tracks financial records, charges, and receipts of the accounts.
$43,238 / year median in South Carolina
+3% projected growth
Job Description
Job Overview We are seeking a detail-oriented and highly organized Medical Billing Specialist to join our healthcare administration team. The ideal candidate will possess a strong understanding of medical billing processes, coding systems, and healthcare claims management. As a Medical Billing Specialist, you will be responsible for ensuring accurate and timely submission of insurance claims, managing patient accounts, and maintaining comprehensive medical records. Your expertise will contribute to the efficient operation of our billing department and support our commitment to excellent patient service. Duties Prepare and oversee submission of accurate insurance claims using billing software and Electronic Medical Records (EMR) or Electronic Health Records (EHR) systems. Review medical documentation to ensure proper coding with CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) codes. Follow up on unpaid or denied claims through healthcare claims management processes and medical collections. Verify patient insurance coverage and explain benefits to patients clearly and professionally. Maintain detailed and organized medical records, ensuring compliance with healthcare regulations and privacy standards. Collaborate with healthcare providers to clarify billing information and resolve discrepancies efficiently. Utilize Microsoft Office tools for reporting, data entry, and record keeping to support billing operations. Stay updated on changes in health insurance policies, coding guidelines, and billing regulations to ensure ongoing compliance. Assist with Front Desk responsibilities as needed. Skills Extensive knowledge of medical coding including