Billing Specialist

Special-Kids,-Inc; Murfreesboro (TN); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

PTO

Paid holidays

Medical, dental & vision insurance

Continuing education dollars

Life insurance

Long-term & short-term disability

Job summary

Special Kids, a non-profit Christian Therapy and Nursing center in Murfreesboro, TN, is seeking a Billing Specialist to manage patient accounts and insurance billing within the Administration department. The role involves accuracy reviews and insurance submissions to ensure proper reimbursement.

The Billing Specialist will verify coverage, process authorizations, reconcile closings, communicate with patients on past-due balances, and uphold confidentiality of medical records.

Qualifications

• High school diploma or GED; related experience and/or training in Medical Billing preferred.
• Experience with electronic medical records systems preferred.
• CPR certification recommended.

Responsibilities

• Reviews all charges for accuracy before electronically submitting insurance claims for reimbursement.
• Processes electronic patient statements for accounts with outstanding patient balances.
• 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.
• Maintains patient confidentiality and adheres to company policies; supports collections when needed.

Skills

Medical Billing

EMR systems

Education

High school diploma or GED

Tools

Electronic Medical Records (EMR)

Job description

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.

The Billing Specialist will foster positive internal and external organizational relationships through various duties within the Administration department. This position is responsible for coordinating and ensuring thorough and accurate patient accounts in the electronic medical records system by performing the following duties.

Essential Duties and Responsibilities include the following.

• 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. Benefits: PTO, paid holidays, medical, 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