Billing Specialist

Job Type: Remote
Job Location: United States
Company Name: Tennova Healthcare

Are you an organized and detail-oriented professional looking to grow your career? Community Health Systems (CHS) in Nashville is seeking a skilled Billing Specialist I to join our dynamic healthcare team. As a Billing Specialist I, you will play a critical role in processing, auditing, and submitting insurance claims accurately and efficiently. You’ll collaborate with internal teams, facility liaisons, and payers to ensure timely reimbursements and adherence to federal and state regulations, contributing to the delivery of safe, quality care. This role is perfect for individuals eager to develop their medical billing expertise while making a meaningful impact on patients’ lives.


Why Join CHS as a Billing Specialist I?

At CHS Nashville, the Billing Specialist I is central to our mission of helping people get well and live healthier. You will enjoy a supportive environment with competitive benefits, including medical, dental, vision, insurance, and a 401(k) plan. Our team emphasizes collaboration, professional growth, and recognition for your contributions.


Billing Specialist I – Key Responsibilities

As a Billing Specialist I, you will:

  • Accurately process and submit primary and secondary insurance claims following all payer guidelines and regulations.

  • Review, correct, and resubmit claims to resolve errors, denials, or rejections efficiently.

  • Utilize UB-04, CMS-1500, or state-specific billing forms to ensure complete and accurate documentation.

  • Audit claims to prevent duplicate charges and missing information before submission.

  • Collaborate with internal teams to monitor billing trends and improve claim accuracy.

  • Maintain up-to-date knowledge of payer policies, federal, state, and local billing requirements.

  • Document actions in electronic billing systems while escalating unresolved issues to management.


Essential Skills for a Billing Specialist I

A successful Billing Specialist I possesses:

  • Strong understanding of insurance claim processing and medical billing guidelines.

  • Experience with electronic claims management systems like SSI or Pulse/DAR.

  • Familiarity with Medicare, Medicaid, and commercial insurance regulations.

  • Excellent problem-solving, communication, and organizational skills.

  • Proficiency in Microsoft Office and electronic health record (EHR) systems.


Qualifications and Experience

  • High school diploma or GED required; associate degree in healthcare administration or related field preferred.

  • 0–1 years of experience in medical billing or insurance claims processing; hospital or ambulatory surgery experience preferred.

  • Knowledge of UB04 billing, payer policies, and electronic claims systems a plus.

  • CPB certification preferred but not required.


What We Offer at CHS Nashville

Working as a Billing Specialist I means more than just a job. You’ll join a team where your work is valued, professional growth is supported, and career advancement is possible. CHS provides a fun and engaging environment, competitive benefits, recognition programs, and continuous learning opportunities.


About Community Health Systems

CHS is one of the nation’s leading healthcare providers, operating in 40 markets across 15 states. With 71 acute-care hospitals and over 1,000 other sites, including physician practices, urgent care, imaging centers, and ambulatory surgery centers, CHS is committed to delivering quality healthcare and improving community well-being.


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