Hospital Billing & Collections Specialist

01 ETCH East Tennessee Children's Hospital Association, Inc.; Koppel (Beaver County); On-site; USD 36,000 - 54,000; Full time

Job summary

Dolly Parton Children’s Hospital is seeking an experienced insurance billing specialist to ensure accurate hospital billing and timely collection of receivables. You will work closely with families, verify insurance coverage, and help resolve questions while supporting a cooperative revenue cycle team.

The role emphasizes attention to CMS rules, coordination with payers, and professional communication with families and internal departments to optimize first-time claim submission and collections.

Qualifications

• High school diploma or GED required.
• Experience in hospital billing and collections preferred.
• Familiarity with CMS rules and third-party payer processes.
• Strong customer service and teamwork abilities.

Responsibilities

• Processes all hospital bills on receipt.
• Follows up on accounts according to department guidelines.
• Works insurance rejections promptly and accurately.
• Collaborates with UM, Medical Records and ancillary staff for a smooth revenue cycle.
• Maintains clear, shareable account notes suitable for families or legal use.
• Maintains confidentiality of patient information and handles sensitive data.

Skills

Customer service

CMS regulations

Insurance coordination

Problem solving

Education

High School Diploma / GED

Job description

Dolly Parton Children’s Hospital is seeking an experienced insurance billing specialist to ensure accurate hospital billing and timely collection of receivables. You will work closely with families, verify insurance coverage, and help resolve questions while supporting a cooperative revenue cycle team.

The role emphasizes attention to CMS rules, coordination with payers, and professional communication with families and internal departments to optimize first-time claim submission and collections.