Billing Specialist

Freeman Recovery Center; Dickson (TN); On-site; USD 42,000 - 56,000; Full time

Job summary

Freeman Solutions, LLC is seeking a Billing Specialist to support the full revenue cycle in Dickson, Tennessee. You will ensure accurate claim creation, timely submission, and posting of payments while reducing denials and improving cash flow.

The ideal candidate has 1–3 years of medical billing experience with knowledge of CPT/HCPC, ICD-9/10, and payer guidelines, plus strong analytical and communication skills. This role emphasizes HIPAA compliance and cross-functional collaboration.

Qualifications

• Strong understanding of insurance claim processes including EOBs CPT/HCPC ICD-9/10 and reimbursement policies.
• Familiarity with EMR and billing software is required.
• Excellent analytical, organizational, and problem-solving skills.
• Strong communication skills, both verbal and written.
• Ability to work independently and manage multiple tasks.

Responsibilities

• Prepare, review and submit clean claims to payers across lines of business.
• Verify coding accuracy and required documentation prior to billing.
• Correct and resubmit rejected or returned claims.
• Monitor outstanding AR and follow up on unpaid or underpaid claims.
• Contact payers to resolve issues and document follow-up in billing system.
• Post insurance and patient payments accurately; reconcile EOBs/ERAs.
• Escalate payment discrepancies or trends to leadership.
• Review denial reasons and prepare corrected claims or appeals packets.
• Collaborate with UR, coding, and clinical teams to prevent denials.
• Ensure verification processes follow payer guidelines and internal SOPs; protect patient privacy.

Skills

Claims processing

Billing software

EMR systems

Analytical skills

Communication skills

Education

High school diploma or equivalent

Associate’s or Bachelor’s degree in business/finance

Tools

CPC certification

CBCS certification

CPB certification

Job description

Job Purpose: The Billing Specialist supports the full revenue cycle by ensuring accurate claim creation, timely submission, payment posting, and resolution of outstanding balances. This role works closely with clinical, admissions, and utilization review teams to ensure clean claims, reduce denials, and support strong financial performance. A strong understanding of payer requirements and medical billing processes is essential.

Primary Responsibilities:

• Claims Processing & Submission
  • Prepare, review, and submit clean claims to payers across all lines of business
  • Verify coding accuracy and required documentation prior to billing
  • Correct and resubmit rejected or returned claims
• Accounts Receivable Tier 1
  • Monitor outstanding AR and follow up on unpaid or underpaid claims
  • Contact payers to resolve claim issues, discrepancies, or delays
  • Document all follow‑up activity in the billing system

  Post insurance and patient payments accurately

  Reconcile EOBs/ERAs and identify variances

  Escalate payment discrepancies or trends to leadership

• Denial Management
  • Review and analyze denial reasons
  • Prepare corrected claims or appeal packets as needed
  • Collaborate with UR, coding, and clinical teams to prevent recurring denials
• Compliance & Quality
  • Ensure all verification processes follow payer guidelines and internal SOPs. Identify trends in coverage issues and recommend process improvements. Protect patient privacy and maintain HIPAA compliance at all times.

Education and experience, degree and/or certification required (if applicable):

High school diploma or equivalent required; associate’s or bachelor’s degree in business, finance, or related fields preferred.

Education and Experience:

Minimum of 1-3 years of experience in medical billing, collections, RCM, or healthcare finance.

CPC, CBCS or CPB certification are strongly preferred.

Skills and Abilities:

Strong understanding of insurance claim processes EOBs,CPT/HCPC, ICD-9/10 and reimbursement policies.

Familiarity with electronic medical records (EMR) and billing software.

Excellent analytical, organizational, and problem-solving skills.

Strong communication skills, both verbal and written.

Ability to work independently and manage multiple tasks effectively.

Working Relationships:

As a representative of Freeman Solutions, LLC, all comments, actions and behaviors have a direct effect on Freeman Solutions, LLC and its image and perception of quality care for the individuals we serve. Interactions with patient(s), staff, referral sources, guests and visitors, volunteer(s), and supervisors must be in a manner that is friendly, supportive, courteous, respectful and professional. This behavior should promote an atmosphere of teamwork that is congruent with Freeman Solutions, LLC policies and procedures and set a standard and guideline to promote positive relations.

I have read the above job description and agree to perform the responsibilities as described above. I understand that this job description is intended to describe the general nature and level of work performed. It is not intended to serve as an exhaustive list of all duties, skills and responsibilities required.