Medical Billing Specialist

ONLY LOCAL TO TN CANDIDATES!

Job Summary
We are seeking a detail-oriented Healthcare Billing Specialist to support medical billing operations, payment processing, account reconciliation, and billing process improvement for a healthcare organization. The ideal candidate will have experience in medical billing, healthcare revenue cycle operations, claims processing, or healthcare financial administration. This role involves investigating billing discrepancies, maintaining accurate financial records, preparing reports, and supporting the implementation and testing of improved billing systems and workflows.

Job Description
Key Responsibilities

• Process and enter healthcare billing encounters accurately and within established deadlines.
• Post payments and write-offs, maintain revenue tracking records, and update billing and provider information.
• Prepare monthly billing reports and maintain supporting documentation.
• Investigate billing discrepancies, payment issues, claim denials, and reconciliation differences.
• Reconcile billing transactions with payment records, remittance information, and financial reports.
• Identify recurring billing errors, research root causes, and recommend corrective actions.
• Monitor billing timelines and support timely claim submission and processing.
• Maintain compliance with HIPAA requirements and organizational confidentiality standards.
• Review existing billing workflows and identify opportunities to improve efficiency and reduce manual data entry.
• Assist with workflow mapping, process documentation, and the development of standard operating procedures.
• Participate in system testing, data validation, quality assurance, and implementation of billing system enhancements.
• Support the planning and transition to modernized billing solutions.
• Develop and maintain process documentation and training materials.
• Collaborate with billing, finance, laboratory operations, IT, procurement, and external stakeholders to resolve issues and improve billing processes.