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Medical Account Manager (#011290) Financial Accounting, Columbia (RICHLAND)

State of South Carolina

Richland County, SCFull-time$46–62K/yrPosted todayStill listed today

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At a glance

Compensation
$46–62K/yr
Location
Richland County, SC
Schedule
Full-time
Work Authorization
Not specified

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Job overview

The Medical Account Manager oversees medical billing to support accuracy, compliance, and fiscal accountability. The role reviews claims before payment authorization, monitors billing systems for discrepancies and duplicate charges, coordinates Medicaid rebilling, conducts internal audits, verifies CPT and HCPCS coding issues, and ensures billing documentation aligns with clinical records. It also serves as the primary contact for provider billing inquiries and claim status updates.

Skills & qualifications

RequiredNice to have

Skills

Medical BillingClaim ReviewRevenue Cycle ManagementHealthcare FinanceMedical Billing and CodingMedicaid Billing CoordinationMedicaid Eligibility Processes

Qualifications

Bachelor's+1, Associate's+3 or High School+5 YearsOne Year Healthcare Finance ExperienceMedical Billing and Coding Course CompletionCertified Medical Billing Specialist

Full job description

  • Oversee the medical billing process to ensure accuracy, compliance, and fiscal accountability.
  • This position reviews claims prior to payment authorization, monitors billing systems for discrepancies or duplicate charges, coordinates Medicaid rebilling, when necessary, conduct internal audits, verify CPT and HCPCS coding issues, ensures billing documentation aligns with clinical records, and serves as the primary point of contact for provider billing inquiries and claim status updates.

Resume preferred but not required. Questions regarding the application process, this job posting or any other postings with the SCDC should be directed to: Recruiting and Employment Services (803) 896-1649 [email protected] State of South Carolina Minimum Requirements: A high school diploma and relevant program experience.

SCDC Minimum Requirements: • A bachelor's degree with one (1) year professional experience in a related area.

OR

  • An associate's degree with three (3) years of professional experience in a related area.

OR

  • A high school diploma with five (5) years of professional experience in a related area.

  • Related area includes healthcare management, claim review, revenue cycle management, etc.

  • Must have 1 (one) year of experience in healthcare finances such as medical billing or claim reconciliation.

  • Preference given for medical billing and coding course completion, certified medical billing specialist, and experience coordinating Medicaid billing or eligibility processes.

The South Carolina Department of Corrections is committed to providing equal opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age (40 or older), disability or genetic information.

Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the state application to include all current and previous work history and education.

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