Billing Specialist

Mercytn; Franklin (TN); On-site; USD 40,000 - 55,000; Full time

Job summary

Mercy Community Healthcare in Franklin, TN is hiring a Billing Specialist to serve as the main contact for patients regarding billing questions and concerns. You will manage accounts receivable and follow up on insurance claims with third-party payors, including outbound calls to resolve issues.

Required is at least 2 years of claims processing experience and strong communication, organization, and analytical skills.

Qualifications

• Minimum 2 years of experience working with insurance claims.
• 5 years of experience preferred.
• Spanish-speaking preferred.
• Excellent communication and interpersonal skills.

Responsibilities

• Work AR and claims follow up.
• Review and 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.
• Assist with patient billing questions.

Skills

Verbal communication

Written communication

Interpersonal skills

Customer service

Organizational skills

Time management

Analytical thinking

Problem solving

Microsoft Office

Billing software familiarity

Education

High School Diploma

Tools

ECW EMR

Microsoft Office

Billing software

Job description

Billing Specialist# Billing SpecialistFranklin, TN 37167## Description**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 DiplomaExperience: 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