HEALTH CARE PARTNERS
Conway, SC
Position Summary The MedicalBilling Specialist is responsible for the accurate and timely billing, claimsubmission, payment posting, and follow-up of medical claims for Health CarePartners of South Carolina. This position ensures claims are processed inaccordance with payer guidelines while supporting the organization’s revenuecycle goals. The Medical Billing Specialist works collaboratively withproviders, clinical staff, insurance carriers, and patients to resolve billingissues, maximize reimbursement, and maintain compliance with federal, state,HRSA, FQHC, and organizational requirements.
Essential Duties and Responsibilities Prepare, review, and submit accurate medicalclaims using appropriate CPT, HCPCS, and ICD-10 coding.
Process billing for Medicare, Medicaid,commercial insurance carriers, and self-pay patients.
Monitor claim status and follow up on unpaid,denied, or rejected claims in a timely manner.
Correct and resubmit claims as necessary toensure prompt reimbursement....