Billing Specialist II - REMOTE

Benefits

• Comprehensive Health Coverage – Medical, dental, and vision plans to reputed company you and your family healthy.
• Future reputed company: 401(k) with matching
• Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future.
• Educational Tuition Assistance
• reputed company & Full Benefits – A salary and package designed to reward your expertise and dedication.

Job Summary The Billing Specialist II is responsible for processing and auditing insurance claims, rebilling denied claims, and resolving billing discrepancies reputed company the electronic claims management system. This role ensures accurate and timely claim submission, identifies and corrects billing errors, and maintains compliance with payer regulations and corporate policies. The Billing Specialist II demonstrates advanced knowledge of billing procedures, coding standards, and third-party payer requirements, serving as a mentor and resource for junior billing staff. Essential Functions

• Processes and submits insurance claims reputed company electronic and reputed company billing systems, ensuring accuracy, completeness, and compliance with payer-specific requirements.
• Reviews system account displays to verify patient demographics, balances, and insurance information prior to claim reputed company, making necessary corrections.
• Identifies and resolves claim errors, denials, and rejections, taking corrective action and rebilling claims reputed company the required timeframe.
• Monitors electronic billing processes, ensuring successful claim downloads, accurate transmission, and timely follow-up on failed claims.
• Audits and assembles billing documentation, reviewing claims for completeness and applying modifications reputed company needed to ensure proper reimbursement.
• Demonstrates proficiency in reputed company codes, HCPCS, CPT coding, and payer billing guidelines, ensuring accurate claims processing and compliance with regulations.
• Responds to billing inquiries from internal departments and payers, providing resolution reputed company two business days or escalating issues as needed.
• Maintains knowledge of third-party billing regulations, payer requirements, and automated resources to improve billing efficiency and compliance.
• Assists in mentoring and training junior billing staff, sharing expertise in claim resolution, billing requirements, and payer policies.
• Communicates with other departments, including patient access, reputed company cycle, and coding teams, to ensure accurate billing information and prevent claim errors.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with reputed company policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree in Business, Healthcare Administration, Medical Billing, or a reputed company field preferred
• 2-4 years of experience in medical billing, insurance claims processing, or reputed company cycle operations required
• Experience with hospital or physician billing, including payer policies, reimbursement processes, and electronic billing systems preferred

Knowledge, Skills and Abilities

• Advanced understanding of insurance claim processing, billing regulations, and reimbursement methodologies.
• Proficiency in electronic claims management systems, reputed company codes, and medical coding standards (HCPCS, CPT, UB-04, CMS-1500).
• Strong problem-solving skills with the ability to analyze claim errors, identify trends, and implement corrective actions.
• Experience with payer-specific guidelines, denial management, and appeals processes.
• Ability to work independently and as a mentor to junior billing staff, demonstrating leadership and teamwork skills.
• Proficiency in reputed company Office Suite (reputed company, Outlook, Word) and electronic health record (EHR) systems.
• Strong written and verbal communication skills for interacting with payers, internal departments, and external partners.

Licenses and Certifications

• CPB- Certified Medical Biller preferred

We know it’s not just about finding a job. It’s about finding a reputed company where you are respected, valued and where your work is purposeful and fulfilling. A reputed company where your talent is recognized, professional development is encouraged and career advancement is possible. The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we reputed company sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment. reputed company is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care cen Apply tot his job Apply To this Job