Regional Medical Billing & Collections Specialist

Surgery Partners, Inc; Nashville (TN); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

Life insurance

PTO

HSA with employer contribution

Job summary

Surgery Partners, Inc. is seeking a dedicated Medical Billing Specialist to manage charge capture, verify insurance eligibility, and obtain pre‑authorizations.

You will counsel patients on insurance and payment options prior to surgery and ensure accurate entry of all eligibility data into the billing system. The role requires experience with CPT/ICD‑10 coding, strong communication skills, and proficiency with medical terminology.

Qualifications

• Education: High School Diploma or Equivalent.
• Experience: 2 years of medical collections; familiarity with billing software.
• License/Certification: Regional Collector

Responsibilities

• Charge capture and over-the-counter payment posting.
• Insurance verification and eligibility.
• Insurance pre-authorization/pre-certifications.
• Counseling patients and families on insurance and payment issues prior to surgery.
• Ensures all insurance, demographic, and eligibility information is obtained and entered accurately and timely.
• Collects and revises all patient insurance information.
• Collects co-pays, deductibles and other out-of-pocket amounts at time of service.
• Posts approved adjustments to patient accounts.
• Balances receipts, reconciles daily work batches and prepares audit trails.

Skills

Verbal and written communication

CPT & ICD-10 coding knowledge

Medical terminology

Customer service

Attention to detail

English proficiency

Education

High School Diploma or Equivalent

Tools

Medical billing software

Job description

Surgery Partners, Inc. is seeking a dedicated Medical Billing Specialist to manage charge capture, verify insurance eligibility, and obtain pre‑authorizations.

You will counsel patients on insurance and payment options prior to surgery and ensure accurate entry of all eligibility data into the billing system. The role requires experience with CPT/ICD‑10 coding, strong communication skills, and proficiency with medical terminology.