Claims Specialist

Crossroads

Claims Specialist responsible for accurate billing and compliance at Crossroads Treatment Centers. Collaborating with internal teams to resolve billing issues and maintain productivity standards.

Posted 6/16/2026full-timeGreenville • South Carolina • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Accurately enter patient charges, diagnoses (ICD-10), procedures (CPT/HCPCS), modifiers, and units into billing systems.
Review charge documents for completeness, accuracy, and compliance prior to entry.
Identify and correct errors, discrepancies, and duplicate charges before claim submission.
Ensure charges align with provider documentation and payer requirements.
Maintain productivity and quality standards while meeting daily deadlines, especially during end-of-month (EOM).
Communicate effectively with internal teams (coding, billing, AR, leadership) to resolve charge-related issues.
Follow HIPAA guidelines and protect patient confidentiality at all times.
Adhere to departmental workflows, policies, and compliance standards.
Participate in audits, quality reviews, and ongoing training as assigned.

Requirements

What you’ll need

High school diploma or equivalent
High attention to detail and accuracy
Strong knowledge of medical terminology, CPT, ICD-10, and basic billing rules
Ability to work efficiently in high-volume environments
Proficiency in billing systems and electronic health records (e.g., Medgen, CareLogic, or similar)
Strong time management, organization, and communication skills
Ability to work independently and collaboratively as part of a team
Previous experience in healthcare charge entry, billing, or revenue cycle
Understanding of payer guidelines and claim submission processes
Experience meeting productivity and quality metrics
Working knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility

Benefits

Comp & perks

Have a daily impact on many lives
Excellent training if you are new to this field
Mileage reimbursement (if applicable)
Crossroads matches the current IRS mileage reimbursement rate
Opportunity to save lives every day!
Medical, Dental, and Vision Insurance
PTO
Variety of 401K options including a match program with no vesture period
Annual Continuing Education Allowance (in related field)
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health day
Calm subscription for all employees

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-10CPTHCPCSbilling systemselectronic health recordscharge entryrevenue cyclepayer guidelinesclaim submission processespayment terminology

Soft Skills

attention to detailaccuracytime managementorganizationcommunicationindependencecollaborationproblem-solvingproductivityquality assurance

Certifications

high school diploma or equivalent