Top 36 Account resolution specialist Jobs in Greenville, Sc

Account Specialist, FT, Days
Prisma Health —Greer, SC
- Full-time
- Surgery
- Research
- Mid-level
4d
Customer Support Specialist I
First Bank —Greenville, SC
- Full-time
- Word processing
- Computer literacy
- High school diploma or GED
11d
Account Specialist F/T Day
Prisma Health —Greenville, SC
- Full-time
- Research
- Mid-level
- Databases
8d
Billing Specialist
Ogletree Deakins —Greenville, SC
- $57,106 - $89,575 a year
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Organizational skills
- Profit sharing
- Paid parental leave
8d
RCM Patient Accounts Receivable Specialist
Ob Hospitalist Group —Greenville, SC
- $22 - $25 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Paid parental leave
- Health savings account
Quick Apply
Correspondence & Dispute Specialist
Newrez —Greenville, SC
- Overtime
- Microsoft Word
- Microsoft Excel
- 5 years
- Paid parental leave
- Health savings account
DEF Customer Service/AR Specialist
SPATCO Energy Solutions —Greenville, SC
- Full-time
- Microsoft Excel
- ERP systems
- Mid-level
- On-the-job training
Quick Apply
Accounts Payable Specialist
Regional Management Corp. —Greer, SC
- Full-time
- Mid-level
- Organizational skills
- 1 year
Quick Apply
7d
Accounts Receivable Specialist
Current Lighting Employee Co LLC —Greenville, SC
- $50,000 - $55,000 a year
- Full-time
- Mid-level
- Office
- Finance
- Paid holidays
- Disability insurance
Quick Apply
Collections Specialist
AFL Telecommunications LLC —Duncan, SC
- Full-time
- Oracle
- Research
- Mid-level
- Health insurance
- Dental insurance
EO, Patient Account Resolution Specialist
Ovation Healthcare —Welcome, SC
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Provider Enrollment Specialist
New Horizon Family Health Services —Greenville, SC
- Mid-level
- Databases
- Business Administration
- Health savings account
- Paid holidays
Technical Support Specialist
Reliable Automatic Sprinkler Co., Inc —Liberty, SC
- Full-time
- Computer science
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
1d
Specialist I, Service Desk
Resurgent Capital Services —Greenville, SC
- Weekends as needed
- High school diploma or GED
- Analysis skills
- Communication skills
IT Support Specialist
9Round —Simpsonville, SC
- $50,000 - $55,000 a year
- Full-time
- Hybrid work
- Computer science
- Computer Science
- Writing skills
- Paid parental leave
- Paid holidays
Quick Apply
12d
The Onyx Group - Denial & AR Follow-Up Specialist
Tribe513 | The Onyx Group —Greenville, SC
- Full-time
- Writing skills
- HIPAA
- Research
Quick Apply
IT Support Specialist - Greenville
HarperGC —Greenville, SC
- Full-time
- Construction site
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Sr. Accounts Payable Specialist
Ogletree Deakins —Greenville, SC
- Overtime
- Hybrid work
- Math
- Project management
- Bachelor's degree
- Profit sharing
- Paid parental leave
13d
Sr. Clinic Office Specialist, FT, Days
Prisma Health —Greenville, SC
- Full-time
- Surgery
- Hospital
- HIPAA
- Health insurance
8d
Transportation Specialist - A Shift
Benore Logistic Systems, Inc —Greer, SC
- $52,000 - $65,000 a year
- Overtime
- Microsoft Excel
- Mid-level
- 3 years
- Paid training
- Health savings account
Quick Apply

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Account Specialist, FT, Days

Prisma Health -
Greer, SC

Apply Now

Job Details

Full-time
4 days ago

Qualifications

Debt collection phone call
Appeals
Correspondence management
Patient question and concern management
Medicare
Account maintenance
Maintaining patient confidentiality
Patient demographics
Filing
Medical coding experience in physician offices
Medical billing compliance checks
Patient complaint handling
Research
Mid-level
Refund processing
Phone call screening
Financial issue resolution
High school diploma or GED
Medicaid health insurance
Debt collection legal action
Customer payment reminders
Financial records management
Team training
Financial record maintenance
Debt collection payment plan
Medical billing and coding communication with insurance companies
Medical insurance appeals management
Credit history review
Healthcare provider information
Credit report review

Full Job Description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Responsible for processing insurance claims. Coordinates collections and delinquent unpaid accounts. Oversees claim processing. Investigates billing problems and assists with error resolution.

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
Assists in the processing of insurance claims including Medicaid/Medicare claims.
Collects and enters patient's insurance information into database.
Assists patients in completing all necessary forms. Answers patient questions and concerns.
Reviews and verifies insurance claims. Requests refunds when appropriate.
Processes Medicare correspondence, signature, and insurance forms.
Follows-up with insurance companies and ensures claims are paid within timeframes as outlined in MA policies and procedures.
Resubmits insurance claims that have received no response.
Answers telephone, screens call, takes messages, and provides information.
Maintains files with referral slips, Medicare authorizations, and insurance slips.
Identifies delinquent accounts, aging period and payment sources. Processes delinquent unpaid accounts by contacting patients and third party reimbursors.
Reviews each account, credit reports and other information sources such as credit bureaus via computer.
Performs various collection actions including contacting patients by phone and resubmitting claims to third party reimbursors.
Evaluates patient financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
Reviews accounts for possible assignment makes recommendation to Credit Manager and prepares information for collection agency.
Assigns uncollectible accounts to collection agency or attorney via clinic Credit and Collection policy. Contacts lawyers involved in third-party litigation.
Answers inquiries and correspondence from patients and insurance companies. Develops collection letters.
Identifies and resolves patient billing complaints. Research credit balances.
Oversees claim processing and payments to third party providers. Answers associated correspondence.
Monitors charges and verifies correct payment of claims and capitation deductions.
Sends denial letters on claims and follow-up on requests for information.
Audits and reviews claim payments reports for accuracy and compliance.
Research and resolves claim and capitation problems.
Maintains timely provider information in physician files.
Maintains insurance company manual and distributes information to staff on updates and changes.
Maintains required databases and patients accounts, reports and files.
Resolves misdirected payments and returns incorrect payments to sender.
Answers patients' inquiries regarding account balances.
Appeals denied claims adhering to payer policy while communicating with MAMC department for further assistance with claims resolution as appropriate.
Works all assigned claims within designated time frame to ensure timely and appropriate payment
Research all information needed to complete billing process including getting charge information from physicians.
Works with other staff to follow-up on accounts until zero balance or turned over for collection.
Assists with coding and error resolution.
Maintains required billing records, reports, and files.
Investigates billing problems and formulates solutions. Verifies and maintains adjustment records.
Maintains and enhances current knowledge of assigned payers with regard to guidelines for billing
Provides training to front office staff when hired and retraining as needed or requested with regard to a specific payer rules and guidelines for physician billing.
Recommends changes to departmental processes as necessary to maximize operational effectiveness of the revenue cycle.
Maintains strictest confidentiality.
Participates in educational activities.
As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual.
Performs other duties as assigned.

Supervisory/Management Responsibility

This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

Education - High School diploma or equivalent OR post-high school diploma / highest degree earned. Associate degree in a technical specialty program of 18 months minimum in length preferred
Experience - Two (2) years in billing, bookkeeping, collections or customer service.

In Lieu Of

Required Certifications, Registrations, Licenses

Knowledge, Skills and Abilities

Electronic Claims Billing experience
Multi-specialty group practice setting experience preferred
Intermediate ICD-9 and CPT coding abilities preferred

Work Shift

Day (United States of America)

Location

Greer Medical Campus

Facility

2105 General Surgery - Greer

Department

21051000 General Surgery - Greer-Practice Operations

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Apply Now

Refine Your Search

account resolution specialist jobs in greenville, sc

Account Specialist, FT, Days

Customer Support Specialist I

Account Specialist F/T Day

Billing Specialist

RCM Patient Accounts Receivable Specialist

Correspondence & Dispute Specialist

DEF Customer Service/AR Specialist

Accounts Payable Specialist

Accounts Receivable Specialist

Collections Specialist

EO, Patient Account Resolution Specialist

Provider Enrollment Specialist

Technical Support Specialist

Specialist I, Service Desk

IT Support Specialist

The Onyx Group - Denial & AR Follow-Up Specialist

IT Support Specialist - Greenville

Sr. Accounts Payable Specialist

Sr. Clinic Office Specialist, FT, Days

Transportation Specialist - A Shift

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