Credit Processing Specialist

Prisma Health

Credit Processing Specialist analyzing healthcare account credits, denials, remittances, and payer issues for Prisma Health. Resolving billing discrepancies and preparing accounts for appeals.

Posted 8/4/2026full-timeRemote • South Carolina • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in billing processes, compliance with HIPAA and regulatory requirements, and effective communication with payers to resolve account issues. Proficient in analyzing patient credit balances and documenting billing activities according to departmental guidelines.

Highest-signal resume keywords

Billing ExperienceHIPAA ComplianceRegulatory Requirements KnowledgeAccount AnalysisPayer Communication

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

BillingBookkeepingAccountingDenial ManagementPayment ResearchQuality AssuranceRoot Cause AnalysisDocumentationCompliance MonitoringTrend Analysis

Soft Skills

Problem SolvingAttention to DetailCommunicationTeam CollaborationAdaptability

Industry Keywords

Patient AccountsPrisma Health PoliciesPayer GuidancePrivacy RegulationsCompliance Issues

About the role

Key responsibilities & impact

Analyze insurance and patient credit balances to determine root causes and resolve accounts
Contact payers and make inquiries regarding account status
Escalate problem accounts
Document billing activity on patient accounts according to departmental guidelines
Ensure compliance with billing regulations and report suspected compliance issues
Document account indicators and activities for tracking, trending, and further analysis
Maintain compliance with privacy, HIPAA, and regulatory requirements
Participate in general or special assignments and required training
Follow Prisma Health policies, procedures, and payer guidance
Perform other duties as assigned

Requirements

What you’ll need

High School diploma or equivalent OR post-high school diploma / highest degree earned
Two (2) years of billing, bookkeeping, or accounting experience
Knowledge of functions required for Denial/Appeals Specialist, Payment Research Specialist, and Quality Assurance Specialist roles
Knowledge of privacy, HIPAA, billing, and regulatory requirements
Compliance with Prisma Health policies and payer guidance

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Prisma Health Website LinkedIn All Job Openings 10,000+ employees Founded 2017 🏥 Healthcare 💰 Grant on 2024-08 Healthcare Prisma Health is a large integrated health system that operates hospitals, clinics, and related patient services in South Carolina and Tennessee. The organization employs nearly 32,000 people and focuses on providing clinical care, nursing and allied health services, and workforce training (e. g. , nurse residency programs), with an emphasis on patient-centered care and community health. The company posts career opportunities across administrative, clinical, technical, and support roles and highlights benefits, hiring events, and candidate resources on its careers site. Credit Processing Specialist 🔥 31 minutes ago 🌴 South Carolina – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level 🚫👨‍🎓 No degree required Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Analyze insurance and patient credit balances to determine root causes and resolve accounts
Contact payers and make inquiries regarding account status
Escalate problem accounts
Document billing activity on patient accounts according to departmental guidelines
Ensure compliance with billing regulations and report suspected compliance issues
Document account indicators and activities for tracking, trending, and further analysis
Maintain compliance with privacy, HIPAA, and regulatory requirements
Participate in general or special assignments and required training
Follow Prisma Health policies, procedures, and payer guidance
Perform other duties as assigned 🎯 Requirements
High School diploma or equivalent OR post-high school diploma / highest degree earned
Two (2) years of billing, bookkeeping, or accounting experience
Knowledge of functions required for Denial/Appeals Specialist, Payment Research Specialist, and Quality Assurance Specialist roles
Knowledge of privacy, HIPAA, billing, and regulatory requirements
Compliance with Prisma Health policies and payer guidance Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Utilization Review Coordinator 🔥 39 minutes ago Atlantic Health Strategies™ 11 - 50 💼 Consulting ⚖️ Legal 📦 Logistics Website LinkedIn All Job Openings Utilization Review Coordinator securing behavioral-health and substance-use treatment authorizations for Lotus Healthcare Billing. Managing payer communications, authorization timelines, and clinical documentation remotely from Boca Raton. 🇺🇸 United States – Remote 💵 $50k - $80k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior Configuration Management Specialist 🔥 40 minutes ago GE Aerospace 10,000+ employees 🚀 Aerospace 🏭 Manufacturing 🎖️ Defense Website LinkedIn All Job Openings Remote Configuration Management Specialist supporting GE Aerospace avionics and electronics manufacturing. Reviewing, releasing, and maintaining controlled engineering data, change packages, and customer deliverables. 🇺🇸 United States – Remote 💵 $72k - $90k / year 💰 $2G Post-IPO Debt - GE Aerospace on 2025-07 ⏰ Full Time 🟡 Mid-level 🟠 Senior Acute Care Specialist 🔥 1 hour ago ANI Pharmaceuticals, Inc. 201 - 500 🏥 Healthcare 🏭 Manufacturing 💊 Pharmaceuticals Website LinkedIn All Job Openings Pharmaceutical sales specialist representing ANI’s acute gout treatment to healthcare providers in the Nashville territory. Driving market development, patient identification, and treatment access through field-based engagement. 🇺🇸 United States – Remote 💵 $140k - $170k / year 💰 $75M Post-IPO Equity on 2021-11 ⏰ Full Time 🟡 Mid-level 🟠 Senior Digital Acquisition Specialist 🔥 1 hour ago Tomplay 11 - 50 📚 Education ☁️ SaaS Website LinkedIn All Job Openings Digital Acquisition Specialist growing Tomplay’s interactive sheet-music app through paid media, influencer campaigns, SEO, and ASO. Optimizing global acquisition, creative performance, localization, and ROI for musicians worldwide. 🇺🇸 United States – Remote 💵 €2k - €2.8k / month 💰 Funding Round on 2021-04 ⏰ Full Time 🟡 Mid-level 🟠 Senior Entry Generator Specialist – Field Service, Technical Advising 🔥 1 hour ago GE Vernova 10,000+ employees 💼 Consulting 📦 Logistics 🏭 Manufacturing Website LinkedIn All Job Openings GE Vernova generator specialist supporting industrial power-generation equipment in the field. Performing inspections, high-voltage testing, repairs, maintenance, and technical advising at customer power plants. 🇺🇸 United States – Remote 💵 $80k - $85k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates About us Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs