Senior Billing Specialist-( Onsite Columbia, SC)

Description

Work Where Balance Meets Purpose - Competitive Pay & Excellent Benefits!

Join Genesis Healthcare and be the driving force behind smooth, patient-focused operations.

Job Title: Senior Billing Specialist

Location: Genesis Healthcare, Inc (Columbia)

Job Type: Full Time

Shift: Monday to Friday, Day Shift (8-hour shift)

No Weekends

Join our team to start a life-changing career in community healthcare as a nonprofit FQHC community-focused healthcare provider. Genesis provides a wide range of services dedicated to improving the health of our communities in the Pee Dee and Low Country regions of South Carolina.

POSITION SUMMARY

The Senior Billing Specialist is responsible for creating claims and timely reprocessing denied and unpaid claims submitted to insurance carriers. Under the supervision of the Billing Director, this position manages daily billing tasks, processes charges, ensures timely and accurate claim submission, researches unpaid claims, and assists with the resolution of denials, partial payments, and payment variances. This role also identifies billing trends and communicates findings to the Billing Director.

The ideal candidate is a highly skilled billing professional with a strong background in FQHC medical and dental billing and 7+ years of hands-on revenue cycle experience. Serving as a subject matter expert, the Senior Billing Specialist helps ensure compliant claims submission, optimize reimbursement, and resolve complex billing and denial issues. Experience with athenaOne and Dentrix is strongly preferred.

PRIMARY TASKS & DUTIES

1. Ensure claims are created within one day of the encounter date for all assigned locations.

1. Ensure proper and accurate charge entry, claim creation, payment posting, and accounts receivable follow-up by monitoring the assigned claims worklist within PMS.

1. Assist with answering questions from newly hired and existing billing staff.

1. Ensure assigned daily functions are completed in a timely manner and deadlines are met.

1. Aide in team building during bi-weekly staff meetings.

1. Monitor all worklists assigned as needed.

1. Ensure insurance reimbursement is according to the terms of our executed agreements.

1. Process patient and insurance refund requests as needed.

1. Ensure all assigned month-end closing procedures are completed on time.

1. Adjust patient accounts according to the Sliding Fee Scale guidelines.

1. Apply appropriate adjustments to patient accounts, to include but not limited to courtesy, bad debt, and indigent according to practice procedures.

1. Assist with answering all incoming patient calls.

ESSENTIAL FUNCTIONS/KEY COMPETENCIES

1. Function in a multi-tasking, multiple priorities environment, while maintaining accuracy and attention to detail.

1. Communicate with a diverse employee population.

1. Utilize a wide variety of office technology and tools to collect, enter, process, file patient records and documentation.

Requirements

Education

• High School diploma or equivalent. Must be able to speak, read, write, and understand English.

Professional

• "Skilled" business office experience.

• Communication, customer service, or working with the general public, preferably in a medical care facility.

• General computer competence includes basic Word and the potential to be trained on specific software for patient information, billing, and communication.

• Knowledge of medical terminology preferred.

• Physical/Environmental

• Ability to interact with the computer screen for up to six hours at a time (visual acuity required).

• Must have manual dexterity for use of keyboard. Ability to remain stationary for periods of up to four hours. Ability to communicate via phone, mail, and in person to resolve disputes, solve problems, etc.

• Capacity to function in a sometimes stressful, multi-tasking environment.