Hybrid Medical Billing: Claims Specialist - Greenville, SC

## Hybrid Medical Billing: Claims Specialist - Greenville, SCApplyremote type: Hybridlocations: Greenville, SCtime type: Full timeposted on: Posted 2 Days Agojob requisition id: R-104738## **Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.**## ## ## Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.# ***Day in the Life of a Claims Specialist**** Accurately enter patient charges, diagnoses (ICD-10), procedures (CPT/HCPCS), modifiers, and units into billing systems.* Review charge documents for completeness, accuracy, and compliance prior to entry.* Identify and correct errors, discrepancies, and duplicate charges before claim submission.* Ensure charges align with provider documentation and payer requirements.* Maintain productivity and quality standards while meeting daily deadlines, especially during end-of-month (EOM).* Communicate effectively with internal teams (coding, billing, AR, leadership) to resolve charge-related issues.* Follow HIPAA guidelines and protect patient confidentiality at all times.* Adhere to departmental workflows, policies, and compliance standards.* Participate in audits, quality reviews, and ongoing training as assigned.# ***Education and Experience requirements**** High school diploma or equivalent.* High attention to detail and accuracy.* Strong knowledge of medical terminology, CPT, ICD-10, and basic billing rules.* Ability to work efficiently in high-volume environments.* Proficiency in billing systems and electronic health records (e.g., Medgen, CareLogic, or similar).* Strong time management, organization, and communication skills.* Ability to work independently and collaboratively as part of a team.* Previous experience in healthcare charge entry, billing, or revenue cycle.* Understanding of payer guidelines and claim submission processes.* Experience meeting productivity and quality metrics* Working knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility.# ***Position Benefits**** **Have a daily impact on many lives**.* **Excellent training if you are new to this field.*** **Mileage reimbursement (if applicable)** Crossroads matches the current IRS mileage reimbursement rate.* **Opportunity to save lives every day!**# ***Benefits Package**** Medical, Dental, and Vision Insurance* PTO* Variety of 401K options including a match program with no vesture period* Annual Continuing Education Allowance (in related field)* Life Insurance* Short/Long Term Disability* Paid maternity/paternity leave* Mental Health day* *Calm* subscription for all employees### About Us## *Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.*# # **Our Story**Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia.# **Our Mission Is Focused:**We exist to improve health equity in order to create superior outcomes.# **Our Vision Is Clear:**To provide the most convenient, comprehensive, high-quality care through specialty medical homes.# **Our Culture Is Inspiring:**Our culture is based on one simple tenet: we would treat others as we would like to be treated – with respect and empathy. We pride ourselves on how we serve our patients. Our INSPIRE culture sets us apart in how we interact not just with patients, but with our communities and each other on a day-to-day basis. #J-18808-Ljbffr