Summary

Position Summary

This position is 100% remote.  We will only consider remote applicants residing in the following US states – AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI.

The Payments Processor is responsible for the daily posting of payments and adjustments to patient accounts in an accurate and timely manner.  Must have knowledge of insurance carriers (government, manage care, commercial, etc.)  Payments must be balanced daily by end of day.  All research pertaining to undistributed cash to be completed daily.  Maintain cash management for lockbox and electronic postings and corrections, forward insurance carrier changes to appropriate staff, and support other areas of revenue cycle, as needed.  Process and key all denials for government, manage care, commercial, etc. Other duties as assigned.

Minimum Requirements

Education

• High School Diploma or equivalent

Experience

• 1-3 years medical office or medical billing/collections experience in a hospital or centralized billing setting.
• Must possess knowledge of CPT, HCPCS, and ICD-9/10 codes.
• Must have a good working knowledge with insurance explanation of benefits (EOB) and understanding of remittance and remark codes.
• Good working knowledge of multiple payer billing requirements for claims processing
• Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid, Managed Care plans etc.

License/Registration/Certifications       

• N/A

Preferred Requirements

Preferred Education

• N/A

Preferred Experience

• Experience with multiple specialty billing and collections.

Preferred License/Registration/Certifications   

• CRCA

Core Job Responsibilities

• Ability to complete detail-oriented work in a timely manner.
• Ability to maintain confidentiality and handle sensitive information.
• Ability to prioritize workload and meet quality and production standards.
• Ability to work well with a variety of people and be a team player.
• Excellent oral and written communication skills, with the ability to convey a positive and professional image.
• Proficiency in working with MS Excel and other office computer-based systems.

Additional Information

Spartanburg Regional Healthcare System (SRHS) offers a full spectrum of services through six hospital campuses: Spartanburg Medical Center, Spartanburg Medical Center — Mary Black Campus, Pelham Medical Center, Cherokee Medical Center, Spartanburg Hospital for Restorative Care and Union Medical Center. SRHS also includes Ellen Sagar Nursing Center and Woodruff Manor. SRHS provides unparalleled cancer care through Gibbs Cancer Center & Research Institute, with locations in Spartanburg, Greer, Union and Gaffney. The multidisciplinary Medical Group of the Carolinas has more than 600 physicians across Upstate South Carolina and western North Carolina. SRHS employs more than 9,000 associates and offers outpatient surgery centers and a Level I Trauma Center.

Founded on Aug. 29, 1921, as Spartanburg General Hospital, Spartanburg Regional celebrates over 100 years of excellence.

• AR Management Specialist
  Spartanburg, SC
• Rep-Patient Access
  Union, SC
• Patient Access Representative
  Gaffney, SC
• Patient Access Representative-MGC Internal Med Greer
  Greer, SC
• Supv-Patient Access
  Greer, SC
• Remote Denials Management Specialist
  Spartanburg, SC