General

• Research and analyze accounts to identify and recover underpayments
• Determine and complete the appropriate action needed to recover underpayments
• Follow up on underpayments through recovery of outstanding monies
• Communicate directly with payors regarding outstanding underpayments
• File underpayment appeals with payors
• Resolve account variances and ensure timely and accurate recovery
• Identify root causes of underpayments, denials, and delayed payments
• Work with client teams to identify, document, and address accounts receivable issues
• Maintain understanding of applicable state and federal insurance regulations and payor-specific requirements
• Document activity accurately in client host systems, Ensemble IQ, or other tracking systems
• Make recommendations and communicate trends and issues to management
• Resolve underpayments using problem-solving and critical-thinking skills
• Meet productivity and quality standards established by Ensemble and Revenue Recovery leadership
• Develop strong working relationships with client teams and Contract Management counterparts
• Work assigned reports and tasks

Revenue Recovery Specialist II

• Determine the eligibility of scheduled patients 1 week to 1 day before their appointments
• Complete documentation in EPIC for Medicare Preventive Wellness Exams
• Access patient charts in CERNER eCW and EPIC to review and update imaging, labs, vaccinations, and documents
• Call patients to ask questions and document answers in the Medicare Preventive Wellness Exam
• Complete documentation in advance when patients cannot be reached; rooming MA asks and documents questions during triage
• Participate in problem solving and process improvement with clinical and clerical teams using Evidence Based Practices
• Perform other duties as assigned

Annual Wellness Visit Specialist

• Coordinate and support daily departmental workflows, including prioritization, scheduling support, and team activity alignment
• Provide guidance on processes, procedures, eligibility requirements, and patient-related workflows
• Escalate issues and support resolution of complex coverage, authorization, documentation, eligibility, and workflow situations
• Perform DME liaison responsibilities as needed, including insurance verification, eligibility determination, financial responsibility review, and patient education
• Assist with orientation, onboarding, and ongoing associate training
• Support leadership with workflow tracking, work organization, and operational demand awareness
• Assist with purchase orders and related operational documentation
• Monitor workflows and identify opportunities to improve efficiency and consistency
• Fit products and educate patients on application, use, care, and expected outcomes
• Track, maintain, and order inventory for one or multiple locations
• Promote relationships with departments, case managers, payers, suppliers, physician clinical staff, and surgery personnel
• Post DME charges and maintain compliance documentation
• Train employees on DME processes and procedures
• Clean and stock equipment
• Greet patients and respond to patient, physician, and team member needs

Durable Medical Equipment Coordinator

• Research requests, enter appropriate data to identify case specifics, and build appeals cases in the system
• Log requests to the appropriate functional area
• Generate letters, assemble files, order records, and obtain additional information as directed
• Ensure quality control of all appeals in the appeals system
• Pend documents to be saved electronically
• Prepare case files for review and/or further routing
• Complete training before transitioning to the hybrid work arrangement

Appeals Coordinator

• Participate in internship program activities, including workshops, training sessions, and special projects
• Support IT portfolio tracking, governance, status reporting, and dashboards
• Assist with IT finance activities, including invoice tracking and spend analysis
• Support Technology Service Provider oversight activities
• Help collect, analyze, and report project and operational metrics
• Develop presentations, business cases, and leadership-ready materials
• Research AI solutions and support the IT AI intake, evaluation, and prioritization process
• Collaborate with IT Business Office team members, IT leaders, and project teams
• Prioritize tasks, maintain attention to detail, meet deadlines, and work in a fast-paced environment

IT Business Office Intern, Summer 2027

• Interview uninsured and under-insured patients to determine eligibility for state Medicaid benefits or local financial assistance programs
• Assist with application processes to facilitate accurate and appropriate submissions
• Follow up on submitted applications to ensure timely billing or adjustment processing
• Review referred patients for program eligibility opportunities and coordinate applications
• Communicate with patients to obtain required supporting documents
• Track applications through determination, update insurance information, and ensure timely billing or adjustment posting
• Document actions and communications in patient accounting systems
• Maintain knowledge of state and federal program requirements and share information with colleagues and supervisors
• Build relationships with county, state, and federal Medicaid caseworker partners
• Collaborate with revenue cycle departments and associates
• Perform other duties as assigned

Public Benefit Specialist

• Abstract and validate CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings
• Abstract and code for assigned providers/divisions based on medical record documentation
• Adhere to coding and compliance guidelines
• Maintain knowledge of coding/billing updates and payer-specific coding guidelines
• Serve as a subject matter expert for the assigned specialty
• Utilize coding software and coding resources to determine correct codes
• Communicate billing-related issues to the assigned supervisor/manager
• Participate in meetings to improve overall billing
• Follow departmental policies for charge corrections
• Provide feedback to providers to clarify and resolve coding concerns
• Resolve assigned pre-billing edits
• Identify areas requiring additional training
• Mentor and assist in training other coders and new team members
• Perform other duties as assigned

Ambulatory Coder III

• Abstract and validate CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings
• Adhere to all coding and compliance guidelines
• Maintain knowledge of coding/billing updates and payer-specific coding guidelines
• Serve as a subject matter expert for the assigned specialty
• Abstract/code for assigned providers/divisions based on medical record documentation
• Use appropriate coding software and coding resources to determine correct codes
• Communicate billing-related issues to the assigned supervisor/manager and participate in meetings to improve overall billing
• Follow departmental policies for charge corrections
• Participate in coding educational opportunities, including webinars and in-house training
• Provide feedback to providers to clarify and resolve coding concerns
• Resolve assigned pre-billing edits
• Assist in identifying areas requiring additional training
• Mentor and assist in training other coders and new team members
• Perform other duties as assigned

Ambulatory Coder III, Orthopedics

• Execute merchandising and marketing initiatives
• Drive store profitability
• Develop the skills of the entire store team
• Ensure customers are well taken care of
• Oversee customer service leadership, training, and coaching for store employees
• Identify qualified applicants and develop leaders
• Empower employees and encourage productivity
• Implement merchandising and marketing programs
• Use P&L and store reports to affect change
• Manage cash handling, fuel transactions, and rewards loyalty program promotion
• Maintain a clean, safe, and presentable store with products in stock

Store Leader – Trainee

• Operate non-invasive ultrasound imaging equipment using high-frequency sound waves to produce images for physician interpretation
• Follow established protocols under the medical supervision of certified radiologists
• Assist radiologists with procedures as needed
• Supervise assigned student Radiological Technologists
• Perform and teach Ultrasound exams to produce satisfactory diagnostic images
• Operate ultrasound equipment safely
• Work with patients, staff, physicians, and student Technologists
• Work across department locations including Roper (Downtown Charleston), BSSF Hospital (West Ashley), Mount Pleasant Hospital, Berkeley Hospital (Summerville), and Sawmill (Summerville)
• Work PRN/as needed, including any shift, with possible call, weekend, and holiday coverage

General jobs in South Carolina