MEDICAL BILLING SPECIALIST

ROCK HILL NEW HOPE TREATMENT CENTERS•North Charleston, SC

1d•Onsite

About The Position

The Medical Billing Specialist position is responsible for accurate and timely processing of medical claims, payment posting, and account reconciliation to support efficient revenue cycle operations. Through accuracy, professionalism, and exceptional customer service, the Medical Billing Specialist supports the organization's mission and financial success.

Requirements

High School Diploma or GED.
Must be at least 21 years of age.
Ability to pass required background checks, drug screening, and any state-mandated employment clearances.
Strong interpersonal and communication skills.
Knowledge of medical billing processes, insurance claims, payment posting, and reimbursement methodologies.
Understanding of HIPAA regulations and patient confidentiality requirements.
Strong analytical and problem-solving skills.
Excellent organizational and time management skills to prioritize multiple tasks while meeting deadlines.
Proficiency in Microsoft Office Suite and electronic medical record (EMR)/billing systems.
Ability to work independently while collaborating effectively within a team environment.

Nice To Haves

Bachelor’s degree in a related field preferred or 1-year minimum experience in medical billing.
Minimum of two (2) years of medical billing or healthcare revenue cycle experience preferred.
Experience with behavioral health, residential treatment, or healthcare billing preferred.
Experience working with Medicaid, commercial insurance, and managed care organizations preferred.

Responsibilities

Prepare, review, and submit accurate claims for services provided by New Hope in a timely manner.
Monitor and follow up on denied, rejected, or unpaid claims to ensure prompt resolution and reimbursement.
Communicate with insurance companies, Medicaid, managed care organizations, and other payor sources regarding payment discrepancies, recoupments, denials, and claim corrections.
Receive electronic remittance advice (ERAs) and explanation of benefits (EOBs), accurately posting payments, adjustments, and denials.
Research and reconcile billing discrepancies between billed charges and reimbursement amounts.
Complete account reconciliations and closeout billing for all applicable contract types.
Establish and maintain billing procedures, workflows, documentation, and contract maintenance processes.
Maintain accurate billing records and supporting documentation in accordance with organizational policies and regulatory requirements.
Collaborate with clinical, finance, admissions, and case management teams to resolve billing-related issues.
Protect the confidentiality of all patients, financial, and organizational information in accordance with HIPAA and applicable privacy regulations.