Billing Specialist

AnMed Health; Anderson (SC); On-site; USD 36,000 - 48,000; Full time

Job summary

AnMed Health is seeking a Billing Specialist in its Customer Service department to be the first point of contact for patients regarding hospital and professional billing. You will handle inquiries by phone, voicemail, email, or in person, ensuring questions and concerns are addressed promptly and professionally.

Responsibilities include maintaining up-to-date billing knowledge, processing and transmitting claims to third-party payers, and resolving submission issues in line with CMS rules and

Qualifications

• High school diploma or GED.
• Good communication skills, both written and verbal.
• Prior experience working with the public.

Responsibilities

• Maintains knowledge of Government, State, HIPPA, and Commercial Insurance/Managed Care, rules, and regulations governing billing compliance.
• Maintains provide billing information so claims can be successfully processed and transmitted to third party payers.
• 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.
• Recommend accounts for contractual or administrative write-offs, along with appropriate justification and documentation.

Skills

Communication skills

Public interaction

Education

High school diploma or GED

Job description

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

To provide exceptional and compassionate care to all we serve.

AnMed has been named one of theBest Employers in South Carolinaby 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.

TheBilling Specialist in the Customer Servicedepartment serves as the first line of contact for patients of AnMed Health.Billing Specialistsare expected to be the primary point of contact, by phone, voice mail, email orface to face, for patient concerns, questions, or complaints regarding hospital and professional billing. Responsibilities include following the proper communication channels to resolve issues and relay information obtained back to patient/guarantor to ensureAnMed Health hasaddressed all issues in a professional and timely manner.

Duties & Responsibilities

• Maintains knowledge of Government, State, HIPPA, and Commercial Insurance/Managed Care, rules, and regulations governing billing compliance.
• Maintains provide billing information so claims can be successfully processed and transmitted to third party payers.
• 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.
• Recommend accounts for contractual or administrative write-offs, along with appropriate justification and documentation.

Qualifications

• High school diploma or GED.
• Good communication skills, both written and verbal.
• Prior experience working with the public.

Preferred Qualifications

• Prior electronic and/or hard copy billing.
• Knowledge of medical terminology.
• Background in Accounting and/or experience in accounting.
• Prior experience working with Government, State, and Commercial Insurance carriers.
• Knowledge of Corporate Compliance issues in regard to HIPPA and Government Programs.
• Medical Insurance & Wellness Offerings.
• Free Financial Counseling.
• Work-Life Balance & Paid Time Off (PTO).
• Professional Development.
• For more information, please visit: anmed.org/careers/benefits

*Varied benefits packages are available for positions with a 0.6 FTE or higher.

About AnMed

Founded in 1908, AnMed is an independent, not-for-profit health system serving Upstate South Carolina and northeast Georgia. It is licensed for 648 beds and anchored by AnMed Medical Center, a 495-bed acute-care hospital that’s earned the prestigious Magnet designation from the American Nurses Credentialing Center since 2012. Also included are a heart and vascular center, a comprehensive cancer center, a maternity center, a behavioral health hospital, a rehabilitation hospital, and AnMed Integrated Therapy and AnMed Urgent Care locations. The AnMed Piedmont campus and its freestanding emergency department opened in 2025, and a new campus serving Clemson and Central is under construction and scheduled to open in 2027. Nearly 60 physician practices are also among service sites spread throughout the region. The system has 742 physicians on medical staff and more than 4,000 employees. Guided by core values of compassion, innovation, integrity, accountability and collaboration, AnMed was named one of the nation’s Great Community Hospitals by Becker’s Hospital Review. It's also been named among the nation's 165 top places to work in health care. It is one of three systems in the nation to earn the 2024 Carolyn Boone Lewis Equity of Care Award from the American Hospital Association. Learn more at AnMed.org.