Medical Billing & Revenue Cycle Lead – Columbia

South Carolina Department of Corrections; Columbia (SC); On-site; USD 45,000 - 60,000; Full time

Job summary

The South Carolina Department of Corrections is seeking a qualified professional to oversee the medical billing process, ensuring accuracy, compliance, and fiscal accountability within correctional health services.

The role reviews claims before payment authorization, monitors billing systems for discrepancies, coordinates Medicaid rebilling when necessary, conducts internal audits, and ensures documentation aligns with clinical records while handling provider inquiries.

Qualifications

• Bachelor's degree with one year professional experience in a related area required
• Associate's degree with three years of professional experience in a related area required
• High school diploma with five years of professional experience in a related area required
• Related area includes healthcare management, claim review, revenue cycle management, etc.
• Must have 1 year of experience in healthcare finances such as medical billing or claim reconciliation
• Preference given for medical billing course completion, certification, Medicaid billing coordination

Responsibilities

• Oversee the medical billing process to ensure accuracy, compliance, and fiscal accountability.
• Review claims prior to payment authorization, monitor billing systems for discrepancies or duplicate charges, coordinate Medicaid rebilling, when necessary, conduct internal audits, verify CPT and HCPCS coding issues, ensure billing documentation aligns with clinical records, and serve as the primary point of contact for provider billing inquiries and claim status updates.

Education

Bachelor's degree with one year professional experience in a related area

Associate's degree with three years of professional experience in a related area

High school diploma with five years of professional experience in a related area

Job description

The South Carolina Department of Corrections is seeking a qualified professional to oversee the medical billing process, ensuring accuracy, compliance, and fiscal accountability within correctional health services.

The role reviews claims before payment authorization, monitors billing systems for discrepancies, coordinates Medicaid rebilling when necessary, conducts internal audits, and ensures documentation aligns with clinical records while handling provider inquiries.