We are looking for a Medical Billing Specialist to support billing operations for a healthcare organization in North Charleston, South Carolina. This Contract position is ideal for someone with hands-on experience in claims processing and denial follow-up, while also offering consideration to a motivated entry-level candidate with a degree in a health-related field. The role focuses on maintaining accurate payment activity, helping resolve reimbursement issues, and contributing to an efficient revenue cycle process.
Responsibilities:
โข Process medical insurance claims and ensure billing information is entered accurately and submitted in a timely manner.
โข Apply insurance payments to patient accounts and verify that reimbursements are recorded correctly.
โข Investigate denied or underpaid claims, determine the cause, and take appropriate steps toward resolution.
โข Review account activity for billing discrepancies and coordinate corrections when needed.
โข Communicate with insurance carriers and internal teams to obtain claim status updates and support payment follow-up efforts.
โข Assist with collections-related billing tasks to help maintain account accuracy and reduce outstanding balances.
โข Use billing tools and payer systems, including EPACES when applicable, to manage claims and payment activity.โข Previous experience in medical billing, insurance claims processing, or a closely related healthcare revenue cycle role preferred.
โข Understanding of medical coding, claims workflows, and payment posting procedures.
โข Ability to analyze insurance denials and identify next steps for resolution.
โข Familiarity with medical collections processes and account follow-up practices.
โข Experience using EPACES or similar payer and billing platforms is preferred.
โข Strong attention to detail with the ability to manage accurate records in a fast-paced environment.
โข Entry-level candidates may be considered if they learn quickly and hold a degree in a health-related field.