Billing Specialist - Audit/ Claims Review

Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful:

To provide exceptional and compassionate care to all we serve.

AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here.

Acts as the primary contact for patients as related to account information. Prepares and files electronically or hard copy claims. Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining to compliance in billing. Responsible for analyzing denials and initiating appeals, when necessary. Must be able to interact with patients and the general public respectfully and professionally. Maintains and exhibits a positive, supportive and safety conscious attitude to promote a good work environment.

***Hybrid***

Duties & Responsibilities

• Knowledge of Government, State, HIPPA, and Commercial Insurance/Managed Care, rules, and regulations governing billing compliance.  
• Gather and analyze medical records and billing for insurance payer audits.
• Responsible for quarterly compliance reporting and quarterly Medicare and Medicaid credit balance reports.
• Work credit balances for all payers.
• Responsible for assigned mail in lockbox.
• Detailed accuracy for scanning insurance information to patient’s records.

Qualifications

• High school diploma or GED.
• Good communication skills, both written and verbal.
• Prior experience working with the public.

Preferred Qualifications

• Prior electronic and/or hard copy billing.
• Knowledge of medical terminology.
• Background in Accounting and/or experience in accounting.
• Prior experience working with Government, State, and Commercial Insurance carriers.
• Knowledge of Corporate Compliance issues in regard to HIPPA and Government Programs.

Benefits*

• Medical Insurance & Wellness Offerings.
• Compensation, Retirement & Financial Planning.
• Free Financial Counseling.
• Work-Life Balance & Paid Time Off (PTO).
• Professional Development.
• For more information, please visit: anmed.org/careers/benefits

*Varied benefits packages are available for positions with a 0.6 FTE or higher.