Billing Specialist

Special Kids, a non-profit Christian Therapy and Nursing center in Murfreesboro, TN, is dedicated to serving children with special needs from birth to 21, including those who are medically fragile. Our Christ-focused mission drives us to provide compassionate, professional care.

About the role

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.

Responsibilities

• 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 growth.

Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High school diploma or general education degree (GED); related experience and/or training in Medical Billing preferred.
• 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.
• CPR certification recommended.

Values

• Compassion
• Willingness
• Courage
• Faith

Schedule

Full-time, 40 hours per week.

Benefits

• PTO
• Paid holidays
• Medical, dental & vision insurance
• Continuing education dollars
• Life insurance
• Long-term & short-term disability