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Billing Specialist / SFS Auditor

108 Doctors Drive, Boone, NC, USA

Job Type


About the Role

Billing Specialist/SFS Auditor Responsibilities:

Checking eligibility and benefits verification for office procedures.
Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Working daily schedules from offices to ensure all charges are correct.
Following up on unpaid claims within standard billing cycle timeframe.
Checking each insurance payment for accuracy and compliance with contract discount.
Calling insurance companies regarding any discrepancy in payments if necessary
Identifying and billing secondary or tertiary insurances.
Claim Denial Management: refiling, researching and appealing denied claims.
Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
Setting up patient payment plans and work collection accounts. as assigned.
Updating cash spreadsheets, and running end of day reports.
Posting all insurance payments received, as assigned.
Work with sites to assure that payments are posted daily and information is accurate
Daily posting and balancing, as assigned
Auditing SFS applications for all medical sites. Ensures applications are complete and proper documentation has been collected by the front desk staff
Become SFS subject matter expert to handle all SFS questions/issues.
Ensures SFS is properly entered into eCW
Works with Site Leads on any errors identified
Follows up on errors to make sure corrections have been made
Works with Billing Team to ensure claims have slide correctly after corrections are made
Assist Billing Team with special projects as needed
Once SFS claims are caught up, assist front desk with identifying patients with expiring slides.
Other duties as assigned


  • High school diploma or GED

  • Two years of medical office experience, billing experience a plus.

  • Electronic Health Records and Practice Management Systems experience preferred.

  • Competent with computers including experience in Microsoft Windows/Office programs, specifically Microsoft Word and Excel.

  • Excellent customer service to both internal and external customers

  • Willingness to work cooperatively in a team setting

  • Ability to demonstrate accuracy and thoroughness ensuring the highest possible quality.

  • Ability to maintain a strong work ethic without direct supervision at all times

  • Effective oral and written communication

  • Ability to make timely, informed decisions that take into account the facts, goals, constraints, and risks related to all aspects of the organization 

About the Company

"HCCH provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, HCCH complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
HCCH conducts background checks on all final candidates. Employment is contingent upon a clear background check or approval of the CEO"

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