Billing Specialist

MERCY HEALTH SERVICES INC; Franklin (TN); On-site; USD 38,000 - 54,000; Full time

Job summary

Mercy Community Healthcare in Franklin, TN is seeking a Billing Specialist to join our team. You will be the primary contact for patients regarding billing questions and will manage accounts receivable and claims follow-up with third-party payers.

The ideal candidate has at least 2 years of insurance claims experience, strong communication skills, and proficiency with EMR systems such as ECW and standard office software. Spanish-speaking preferred.

Qualifications

• 2+ years of insurance claims experience.
• High School Diploma required.
• Strong verbal and written communication skills.
• Excellent organizational skills and attention to detail.

Responsibilities

• Working AR and claims follow up.
• Resolve claims before timely filing.
• Speak with payers and make outbound insurance calls.
• Review denials and hold errors.
• Appeal claims and reconsideration forms when necessary.
• Review and monitor assigned accounts and payer reports.
• Provide follow up with payers.
• Handle patient billing questions.
• Other duties assigned by supervisor.

Skills

Accounts Receivable

Claims follow-up

Payer communication

Denials review

Appeals

Microsoft Office

Time management

Education

High School Diploma

Tools

ECW EMR

Billing software

Job description

Job Details: Job Location: Franklin, TN 37167

Mercy Community Healthcare has an opening for a Billing Specialist in Franklin, TN. We are looking for enthusiastic people with a passion for making a difference in the lives of those we serve in our community. The Billing Specialist is the designated point of contact for patients regarding billing questions and concerns. The Billing Specialist works on and tracks AR, and claims follow up with third party payors to ensure all transactions are managed properly. This position frequently speaks with payers over the phone to resolve any claims or accounts.

Mercy's Mission:

The mission of Mercy Community Healthcare is to reflect the love and compassion of Jesus Christ by providing excellent healthcare to ALL and support to their families. We provide care to the uninsured, underinsured and insured through pediatric and adult primary care, mental and behavioral health services, and care coordination.

Essential Duties & Responsibilities:

• Working AR and claims follow up.


• Work and resolve claims before timely filing.


• Speaking with payers and making outbound insurance calls.


• Reviewing and working denials and hold errors.


• Appeal claims and reconsideration forms when necessary to payers.


• Review and monitor assigned accounts and payer reports.


• Provide follow up with payers.


• Work Patient Refund reports.


• Assist with patient billing questions.


• Other duties assigned by supervisor as required.

Qualifications

Minimum Qualifications

• Education: High School Diploma


• Experience: Minimum 2 years of experience working with insurance claims (5 years of experience preferred).

Required Skills:

• Excellent verbal and written communications skills.


• Excellent Interpersonal and customer service skills.


• Excellent organizational skills and attention to detail.


• Excellent time management skills with a proven ability to meet deadlines.


• Excellent analytical and problem-solving skills.


• Excellent Microsoft Office skills.


• Excellent EMR skills (ECW preferred)


• Above average familiarity/experience with billing software.

Preferred Skills

• Spanish-speaking preferred.


• ECW EMR experience