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Billing Specialist

Company: Articularis Healthcare
Location: Summerville
Posted on: June 15, 2022

Job Description:

Articularis Healthcare Group, Inc (AHG) is a physician led and owned organization dedicated to improving the healthcare by supporting independent rheumatology practices across the country. As the nation's largest rheumatology specialty group with 20+ practices across 7 states, AHG provides access to best business practices, advisory and management services, and value-based treatment pathways.

AHG currently has an opening for a Billing Specialist at our Summerville-Administrative location. Our office hours are Monday through Thursday with a 3-day weekend! Enjoy a positive team environment and great work/life balance. Please visit our website at for more information.


The Billing Specialist manages the revenue cycle process, including accurate and timely charge entry, claim creation payment entry and A/R follow-up with patients and third party payers. This position works on a team of other Billing Specialists in a central business office representing multiple medical practices.

Essential Duties and Responsibilities:
--- Responsible for preparing and submitting clean claims to third party payers either electronically or by paper.
--- Coordinates collection process and tracking current collections in NextGen.
--- Manages weekly statement process, to include reviewing statements before processing.
--- Identifies and resolves patient billing problems
--- Responsible for denial and insurance follow-up management.
--- Responsible for submitting adjusted, corrected, and/or rebilled claims to third party payers in a timely manner.
--- Responsible for posting electronic remits (ERA), manual payments and adjustments, transfer of responsibility and refunds, as necessary and in a timely
--- Assure coding is compliant, accurate and up to date.
--- Reviews accounts and makes recommendations to Supervisor regarding non collectible accounts.
--- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
--- Other duties as assigned by supervisor.

Minimum Qualifications:
--- Associates degree with 2 years or any combination of education and
work experience in a customer service-related role.
--- Experience working with medical payers including Medicare, Medicaid
and commercial insurance,
--- Previous experience working in a medical/clinical setting.
--- Working knowledge of medical billing systems.
--- Working knowledge of coding practices.
--- Working knowledge of computers, internet access, and the ability to
navigate within Microsoft Office Suite, or similar programs.
--- Demonstrated excellent verbal and written communication skills.

Preferred Qualifications:
--- Bachelor's Degree from an accredited college or university.
--- Bilingual (English/Spanish).
--- NextGen experience.
--- CPC/CPB designation.
--- Knowledge of medical software systems.
--- Knowledge of medical terminology.

Keywords: Articularis Healthcare, Summerville , Billing Specialist, Accounting, Auditing , Summerville, South Carolina

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