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PACS logo
PACS

Healthcare Leadership Careers • Administrative Support Services • Management Advisory and Consulting

Regional Billing Specialist

Location

South Carolina

Posted

93 days ago

Salary

0

Seniority

Mid Level

Bachelor Degree2 yrs expEnglish

Job Description

Regional Billing Specialist

PACS

• Claims Management: Generate trial claims regularly to identify and resolve billing errors prior to final submission. • Billing Cycle Oversight: Ensure all prior-month claims are billed immediately following the Triple Check date. • Unbilled Claims Management: Maintain a cumulative list of all unbilled claims; provide daily updates until all prior-month claims are released. • Clearinghouse Maintenance: Review Waystar for rejected claims daily and ensure corrections are made. • Contractual Expertise: Maintain knowledge of payer contracts and ensure billing aligns with contract provisions. • Denial Management: Monitor insurance portals for status updates and submit formal appeals as appropriate. • Collection Module Oversight: Monitor PointClickCare for outstanding accounts and provide feedback. • Cash Posting & Reconciliation: Post all payer-appropriate cash to PCC daily and perform reconciliations. • Trend Identification: Analyze accounts receivable aging reports to identify trends. • Management Reporting: Keep executive leadership informed by providing summaries regarding the region's financial health.

Job Requirements

  • 2–4 years of experience in healthcare billing, accounts receivable, or revenue cycle operations.
  • Working knowledge of payer rules, billing regulations, and claims submission processes.
  • Experience with electronic health record (EHR) and billing platforms (PointClickCare or similar).
  • Strong analytical skills with the ability to identify trends, resolve billing issues, and ensure data accuracy.
  • Excellent attention to detail, documentation habits, and organizational skills.
  • Ability to communicate effectively with Business Office Managers, payers, and cross-functional teams.

Benefits

  • Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
  • PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
  • Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
  • Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
  • Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

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