Billing Specialist

Special Kids; Murfreesboro (TN); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

PTO

Paid holidays

Medical insurance

Dental & vision insurance

Continuing education dollars

Life insurance

Long-term & short-term disability

Job summary

Special Kids in Murfreesboro, TN is seeking a Billing Specialist to manage accurate charge reviews, insurance claims and patient statements within our EMR-driven environment. The role supports timely reimbursements and maintains compliance with confidentiality.

The ideal candidate will have a high school diploma (GED) with medical billing experience; familiarity with EMR systems is preferred and CPR certification is optional.

Qualifications

• High school diploma or GED required; related experience and/or training in Medical Billing preferred.
• Experience with electronic medical records (EMR) systems is preferred.

Responsibilities

• Reviews charges for accuracy before submitting insurance claims.
• Processes electronic patient statements for accounts with outstanding balances.
• Verifies insurance coverage and authorizations prior to billing for services.
• Reconciles daily and monthly closings in the EMR system and financial database.
• Initiates collections on past-due accounts with responsible parties.
• Establishes and monitors patient payment plans per policy.
• Responds to patient insurance, billing, and statement inquiries.
• Makes recommendations to leadership for write-offs of uncollectible accounts.

Skills

Medical billing

EMR systems

Attention to detail

Education

High school diploma or GED

Medical Billing experience preferred

Tools

Electronic Medical Records (EMR) software

Job description

Special Kids, a non-profit Christian Therapy and Nursing center in Murfreesboro, TN, is dedicated to serving children with special needs. We offer comprehensive services to children from birth to 21, including those who are medically fragile. Our Christ-focused mission drives us to provide compassionate, professional care. We are currently seeking a Billing Specialist. If you share our commitment to Christ-centered care and want to make a meaningful impact, we invite you to apply.

Essential Duties and Responsibilities

• Reviews all charges for accuracy before electronically submitting insurance claims for reimbursement.
• Processes electronic patient statements for accounts with outstanding patient balances.
• Reviews and processes all automatic remittance postings and patient payments ensuring accurate account records.
• Verifies insurance coverage and processes all insurance authorizations prior to billing for services.
• Reconciles daily and monthly closings to ensure all payments are accounted for within the EMR system and financial database.
• Corresponds with responsible financial party to initiate collections on past-due accounts.
• Establishes and monitors patient payment plans according to company policies to assist with collection of payments.
• Communicates with Patient Services to maintain an awareness of patients with past-due balances to enforce our financial policy. The Billing Specialist may recommend placing patients on hold until payment plans have been established in accordance with policy.
• Researches and corrects insurance claims with payment discrepancies or incorrect processing.
• Responds to all patient insurance, billing, and statement inquiries.
• Makes recommendations to leadership for write-offs of uncollectible patient accounts.
• Keeps management informed of any specific changes with insurance changes affecting reimbursements.
• Handles all special billing situations as necessary.
• Adheres to all company policies and standards regarding patient confidentiality.
• Attends meetings and conferences and participates in other activities to promote professional grow

Full-time 40 hours per week.

• PTO
• Paid holidays
• Medical insurance
• Dental & vision insurance
• Continuing education dollars
• Life insurance
• Long-term & short-term disability
• and more

Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education And/or Experience

High school diploma or general education degree (GED); related experience and/or training in Medical Billing preferred.

Computer Skills

To be successful in this job, an individual should have basic computer skills and the ability to learn new software and web-based applications such as electronic medical records. Experience with electronic medical records systems preferred.

Certificates, Licenses, Registrations

None required; CPR certification recommended.

Values

• Compassion
• Willingness
• Courage
• Faith