Credit Processing Specialist

🕒 August 4

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 25%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

📋 Description

• Perform tasks relating to physician and hospital accounts • Analyze and interpret data throughout revenue cycle functions • Analyze aged accounts and remittances to determine reasons for denials, non-payment, and overpayment • Post, balance, and correct electronic remittances • Bill and follow up with government payers and specialized accounts • Analyze and correct coding guidelines • Prepare accounts for appeal • Review and analyze insurance and patient credit balances, including unapplied, unidentified, and undistributed balances • Analyze credit balances to determine root causes and take action to resolve accounts • Contact payers and make hard inquiries on account status • Escalate problem accounts • Document billing activity and account indicators according to departmental guidelines • Ensure compliance with billing regulations and report suspected compliance issues • Participate in assignments and attend required training • Perform other duties as assigned

🎯 Requirements

• High School diploma or equivalent OR post-high school diploma / highest degree earned • Two (2) years billing, bookkeeping, accounting experience • Knowledgeable of the job functions required for a Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist • Compliance with privacy, HIPAA, regulatory requirements, and payer guidance