MEDICAL BILLING SPECIALIST
Are you a detail-oriented professional with a passion for making a difference? Join our team as a Medical Billing Specialist! In this role, you will play a vital part in our mission to provide care and healing to children who have experienced abuse or trauma, as well as support their families.
The Medical Billing Specialist role demands an experienced and dynamic professional with a deep understanding of efficient claim processing, reimbursement optimization, and denial management. Ensuring accuracy and compliance with all relevant regulations is crucial in this position, as it directly impacts our ability to provide essential services to children in need.
QUALIFICATIONS
Three (3) years in the healthcare industry
Education Requirements
Preferred: Associate degree
Required: High School Diploma or GED
Preferred Certifications
Medical billing and coding
Certified Medical Reimbursement Specialist
ESSENTIAL DUTIES AND RESPONSIBILITIES
Expertise in claim processes, reimbursement, and denial management.
Skilled in resolving denials, rejections, and discrepancies, with the ability to maximize reimbursement through appeals when necessary.
Implement strategies for thorough claim review to minimize rejections before submission.
Verify patient, insurance, billing, and claim submission information for accuracy.
Monitor trends in payer underpayments, coding issues, and denials.
Investigate missing payments and secure necessary documents for posting.
Establish and maintain timely billing procedures and workflows.
Must be dedicated to the mission of Southmountain Children and Family Services and possess a deep sense of empathy for the children and families we serve.
REQUIRED SKILLS
Thorough understanding of compliance with state and federal laws (including HIPAA) regarding healthcare billing and coding is required.
Expertise in Medicaid and other insurance collections, coding, and denials management.
Excellent verbal and written communication abilities.
Read and interpret insurance explanations of benefits (EOBs) with a high level of accuracy.
Ability to analyze and resolve issues while identifying trends through critical thinking.
Capable of working well with others and fostering a team-oriented environment.
Utilize strong time management skills to handle daily tasks and meet production and quality metrics.
OUR COMMITMENT TO DIVERSITY
As an equal-opportunity employer dedicated to supporting a multigenerational and multicultural workforce, Southmountain values a diverse staff that mirrors our community. We proudly hire local talent at all levels, regardless of race, color, religion, age, national origin, gender, gender identity, sexual orientation, or disability.
At Southmountain Children and Family Services, we are committed to fostering a safe and supportive environment for children and families. Here, you will join a passionate team of professionals dedicated to making a positive impact in our community. If you seek a meaningful career where your skills can truly make a difference, we invite you to apply.
BENEFITS AND COMPENSATION
At Southmountain, we value our employees and offer competitive pay and exceptional benefits along with the opportunity to work in a sensitive and compassionate environment.
401(k) (up to 6% match after vesting)
Dental insurance
Health insurance
Health savings account
Life insurance
Vision insurance
Paid time off
Paid holidays
Professional development opportunities and advanced training
Salary: starts at $44,500 per year, based on education and experience
Southmountain Children and Family Services has been dedicated to children and families in North Carolina since 1903. Based in Morganton, NC, we operate a one-of-a-kind foster community in Nebo and eleven Children’s Advocacy Centers and Evidence-based Treatment Centers throughout the state. Learn more about our commitment to excellence at southmountain.org.
Southmountain Children and Family Services operates North Carolina’s first and only foster community and currently operates eleven Children’s Advocacy Centers and Evidence-based Treatment Centers across North Carolina.