Physician Billing, Insurance & Pre-Registration Representative

🔥 3 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 13%

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

• Verify insurance coverage and benefits using online eligibility tools, websites, or telephone inquiries • Document insurance verification accurately and completely in the EPIC patient billing system • Ensure insurance priorities are correct based on third-party requirements and coordination of benefits • Identify and document current patient responsibility to support correct payment collection at time of service • Initiate, obtain, and document pre-certifications/prior authorizations • Communicate new insurance system issues to appropriate personnel • Manually correct or update identified insurance issues according to departmental guidelines • Perform other duties as assigned • Report to a supervisor, manager, director, or executive

🎯 Requirements

• High School diploma or equivalent OR post-high school diploma/highest degree earned • Two (2) years billing, bookkeeping, or accounting experience • Up-to-date knowledge of current insurance plans and eligibility/benefits verification • Knowledge of managed care contracts and network or out-of-network status • Ability to use EPIC patient billing system • Ability to obtain and document pre-certifications/prior authorizations • Ability to accurately document insurance information and patient responsibility • Required certifications, registrations, or licenses: NA

🏖️ Benefits

• Remote work • Full-time day shift