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Medical Payment Specialist

Carolina Nephrology
Greenville, SC Full Time
POSTED ON 3/2/2025
AVAILABLE BEFORE 5/29/2025

Job Description

Job Description

IMMEDIATE opening in Greenville for a Medical Payment Specialist. We are seeking proactive problem solvers with time management skills that are interested in joining a great team and growing practice. Medical billing experience is required with Epic experience preferred. We will train to ADD TO YOUR current medical billing skills / experience! COME LEARN AND GROW WITH US!

Job Title : Medical Payment Specialist

Job Type : Full time

Location : 203 Mills Avenue Greenville, SC 29605 (this is an in-person position)

Practice Overview : We are a growing medical practice with 9 office locations across the upstate. Our providers care for patients at 21 dialysis locations and multiple hospitals as well.

Job Description

The Payment Specialist is responsible for reconciling all front office payments that are cash and check, and posting incoming insurance and patient payments. Payments will be a variety of credit cards, electronic remits loaded into our system, paper checks, and remits that are to be downloaded from the payer portal. This position will also include working credits in our EMR system. These are credits from both the insurance companies and patients. The Payment Poster will also be responsible for following up on outstanding balances from both the patients and payers. Also handling overpayment letters from payers which includes, but is not limited to, verifying the payers refund request, refunding and resubmitting the claim to the correct payer.

Working as a team which includes, but is not limited to, answering incoming phone calls, assisting patients with billing questions, and helping one another when needed.

Responsibilities

Reconciling Front Office Payments

  • Running a daily Epic report for all office locations for payments.
  • Comparing the Epic report to the front office batches that have been brought to the main location for depositing.
  • Depositing and reconciling batches.
  • Communicating with other offices regarding their batches.

Payments & Adjustments

  • Depositing checks via our remote deposit machine for patient and payer checks.
  • Posting Insurance Payments
  • Downloading remits from the payer portals and manually hand keying the payment.

  • Manually posting remits that are pulled from portals or mailed in.
  • Manually posting takebacks that are not electronically posted.
  • Posting ERA's in Epic and logging the information into an Excel spreadsheet.
  • Posting / Accepting Patient Payments
  • Taking patient payments over the phone and posting the payment to their account.

  • Posting patient checks and credit card information that is mailed in.
  • Outstanding Balances

  • Ability to fully interpret a payer's EOB.
  • Following up on claims with no response from the payer.
  • Following up on patient balances.
  • Patient Interactions

    Via phone or mail :

  • Answering patient questions / concerns regarding balances.
  • Calling patient when needed for any information.
  • Collecting patient payments via phone by card.
  • Contacting the patient via phone or mail if coordination of benefits are needed.
  • Mailing patient checks back with a letter regarding a $0 balance on their accounts.
  • Updating and / or verifying patient insurance information into their registration.
  • Overpayments Letters

  • Investigating incoming refund requests from payers.
  • Refunding the payer when needed.
  • Resubmitting the claim to another payer if applicable.
  • Credits

  • Investigating / handling patient and payer credits and all that entails.
  • Interpreting EOB's in order to properly distribute adjustments and payments.
  • Issuing / requesting refunds when appropriate.
  • Benefits

  • 401(k).
  • Dental insurance.
  • Health insurance.
  • Life insurance.
  • Paid time off.
  • Vision insurance.
  • Expected Schedule

  • Monday-Friday (8 : 30-5 : 00)
  • 35-40 hours per week.
  • 16.00-$21.00 per hour
  • Requirements

    Essential Requirements

  • 1 year of medical billing experience specifically :
  • Familiar with remark codes on EOB's.

  • Posting payments that are electronic and manually hand keyed.
  • Overpayments / refund requests from payers.
  • Comfortable communicating any payment concerns with leadership as needed.
  • Willing to learn and adapt to updated billing guidelines and / or new changes within the practice.
  • Preferred Skills

  • Epic experience.
  • Excel experience.
  • Familiarity with various insurance portals.
  • All offers of employment at Carolina Nephrology, PA are contingent upon clear results of a thorough background check. Background checks will be conducted on all final candidates and on all employees who are promoted, as deemed necessary.

    Background checks will include :

  • Social Security Verification : validates the applicant's Social Security number, date of birth and former addresses.
  • Prior Employment Verification : confirms applicant's employment with the listed companies, including dates of employment, position held and additional information available pertaining to performance rating, reason for departure and eligibility for rehire. This verification will be run on the past two employers or the previous five years, whichever comes first.
  • Personal and Professional References : calls will be placed to individuals listed as references by the applicant.
  • Educational Verification : confirms the applicant's claimed educational institution, including the years attended and the degree / diploma received.
  • Criminal History : includes review of criminal convictions and probation. The following factors will be considered for applicants with a criminal history :
  • The nature of the crime and its relationship to the position.
  • The time since the conviction.
  • The number (if more than one) of convictions.
  • Whether hiring, transferring or promoting the applicant would pose an unreasonable risk to the business, its employees or its customers and vendors.
  • Procedure

    Final candidates must complete a background check authorization form and return it to Human Resources.

    Human Resources will order the background check upon receipt of the signed release form, and either internal HR staff or an employment screening service will conduct the checks. A designated HR representative will review all results.

    The HR representative will notify the hiring manager regarding the results of the check. In instances where negative or incomplete information is obtained, the appropriate management and the director of Human Resources will assess the potential risks and liabilities related to the job's requirements and determine whether the individual should be hired. If a decision not to hire or promote a candidate is made based on the results of a background check, there may be certain additional Fair Credit Reporting Act (FCRA) requirements that will be handled by Human Resources in conjunction with the employment screening service (if applicable).

    Background check information will be maintained in a file separate from employees' personnel files for a minimum of five years.

    Carolina Nephrology, PA reserves the right to modify this policy at any time without notice.

    Salary : $16 - $21

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