Innovative Solutions
Administrative / Billing Specialist
Columbia, South Carolina · Staff+
Sponsorship not specifiedDetected 43 days ago
ComplianceAR/VREHR/EMRICD-10ResearchCommunicationOrganizational SkillsAccounts Payable
About the role
- Key goals: Ensure accurate, timely submission of eligible institutional claims (UB-04/CMS-1450) within an entry-level scope.
- ESSENTIAL RESPONSIBILITIES AND DUTIES Prepare, review, and submit basic institutional claims (UB-04/CMS-1450) to Medicare, Medicaid, and commercial payers via electronic submission under supervision.
- Research and resubmit simple denied/rejected claims; escalate complex denials to more senior staff.
Responsibilities
- Perform daily payment posting and basic AR aging updates; assist with reconciliation as directed.
- Support opioid abatement efforts by documenting needs and coordinating with care teams, under supervision, ensuring appropriate coding where applicable.
- Assist with eligibility and authorization data gathering; collaborate with Clinical Documentation to support billed services as directed.
- Maintain awareness of current billing rules at a high level (basic revenue codes) and apply them within defined parameters.
- Perform other administrative tasks and special projects as assigned.
- Maintain orderly accounts receivable data and support routine payment posting.
- Assist with credentialing-related tasks and basic care coordination support under supervision.
- Support cross-functional communication with Billing, Intake, Clinical Documentation, and Administration at a basic level.
- This role includes front-desk reception duties as needed and is suitable for individuals building experience in billing and care coordination.
Requirements
- Proficiency with basic computer systems
Skills
- Associate's degree or equivalent in a related field (healthcare administration, business) preferred.
- Strong communication and teamwork abilities.
- High level of professionalism and integrity with regulatory compliance awareness.
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