Hybrid Medical Billing: Claims Specialist - Greenville, SC

Crossroads Treatment Centers•Greenville, SC

2d•Hybrid

About The Position

Crossroads Treatment Centers is seeking a Claims Specialist to join their team. This role is hybrid and based in Greenville, SC. Crossroads Treatment Centers is dedicated to providing accessible, high-quality, evidence-based medication-assisted treatment (MAT) for opioid use disorder. Since 2005, the organization has been a leader in combating the opioid epidemic, helping over 26,500 patients on their path to recovery through outpatient, office-based clinics across multiple states. The company emphasizes diversity, inclusion, and a culture of respect and empathy.

Requirements

High school diploma or equivalent.
High attention to detail and accuracy.
Strong knowledge of medical terminology, CPT, ICD-10, and basic billing rules.
Ability to work efficiently in high-volume environments.
Proficiency in billing systems and electronic health records (e.g., Medgen, CareLogic, or similar).
Strong time management, organization, and communication skills.
Ability to work independently and collaboratively as part of a team.
Previous experience in healthcare charge entry, billing, or revenue cycle.
Understanding of payer guidelines and claim submission processes.
Experience meeting productivity and quality metrics.
Working knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility.

Nice To Haves

Excellent training if you are new to this field.

Responsibilities

Accurately enter patient charges, diagnoses (ICD-10), procedures (CPT/HCPCS), modifiers, and units into billing systems.
Review charge documents for completeness, accuracy, and compliance prior to entry.
Identify and correct errors, discrepancies, and duplicate charges before claim submission.
Ensure charges align with provider documentation and payer requirements.
Maintain productivity and quality standards while meeting daily deadlines, especially during end-of-month (EOM).
Communicate effectively with internal teams (coding, billing, AR, leadership) to resolve charge-related issues.
Follow HIPAA guidelines and protect patient confidentiality at all times.
Adhere to departmental workflows, policies, and compliance standards.
Participate in audits, quality reviews, and ongoing training as assigned.

Benefits

Medical, Dental, and Vision Insurance
PTO
Variety of 401K options including a match program with no vesture period
Annual Continuing Education Allowance (in related field)
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health day
Calm subscription for all employees
Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.