Patient Billing Specialist — Caring, Compliant Claims

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

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