Medical Billing Specialist

Job Description

Job Description

We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations in North Charleston, South Carolina. This contract-to-permanent opportunity is ideal for someone who can manage claims processing, payment posting, and account follow-up with accuracy and professionalism. The person in this role will work closely with internal teams and external payors to resolve billing issues, maintain compliant records, and help ensure timely reimbursement.

Responsibilities:
• Generate and submit clean, accurate claims for services rendered while meeting established billing timelines.
• Investigate unpaid, rejected, or denied claims and take appropriate action to secure resolution and reimbursement.
• Communicate with insurers, Medicaid, managed care organizations, and other funding sources to address denials, payment variances, recoupments, and claim corrections.
• Review ERAs and EOBs and post payments, contractual adjustments, and denials with a high level of accuracy.
• Analyze billing and reimbursement discrepancies, reconcile accounts, and support financial closeout activities across applicable contract arrangements.
• Maintain organized billing documentation, contract-related records, and workflow processes in alignment with company standards and regulatory requirements.
• Partner with clinical, admissions, finance, and case management teams to resolve billing concerns and improve claim outcomes.
• Safeguard patient, financial, and organizational information by following privacy requirements and confidentiality standards.• High school diploma or equivalent required.
• At least one year of medical billing experience or a related educational background preferred.
• Two or more years of experience in medical billing or healthcare revenue cycle work preferred.
• Familiarity with behavioral health, residential treatment, or broader healthcare billing environments preferred.
• Experience working with Medicaid, commercial insurance, and managed care payors preferred.
• Working knowledge of medical billing, medical claims, collections, and coding processes.
• Experience using ePaces or similar billing platforms is preferred.
• Ability to complete background screening, drug testing, and any required state employment clearances.