Job Description
Join our dynamic revenue cycle team as a Billing Specialist at HealthCare Partners Nashville! We're seeking a detail-oriented professional to ensure accurate claim submissions, optimize reimbursement processes, and maintain compliance with healthcare regulations. Enjoy competitive compensation, comprehensive benefits, and opportunities for professional growth in Nashville's thriving healthcare sector.
Responsibilities
- Process and submit insurance claims with 98% accuracy
- Resolve claim denials and rejections within 48 hours
- Verify patient eligibility and benefits prior to service
- Manage account receivables and aging reports
- Conduct regular audits of billing documentation
- Collaborate with clinical teams on coding accuracy
- Stay updated on CMS and payer policy changes
Qualifications
- 3+ years of medical billing experience
- Certified Professional Biller (CPB) or CPC certification
- Expertise in CPT, ICD-10, and HCPCS coding
- Proficiency with Epic EHR and Lytec billing systems
- Strong analytical and problem-solving skills
- Excellent communication and customer service abilities
- Knowledge of Tennessee Medicaid guidelines