Job Description
Join our dynamic healthcare team as a Remote-Friendly Medical Biller in Nashville, TN! We're seeking a meticulous professional to ensure accurate revenue cycle management while enjoying the flexibility of remote work. This full-time role offers competitive compensation, comprehensive benefits, and opportunities for career growth in the thriving Nashville healthcare sector.
Our ideal candidate thrives in detail-oriented environments and possesses deep expertise in medical coding systems. You'll collaborate with clinical and administrative teams to optimize billing processes, reduce claim denials, and maintain compliance with healthcare regulations. If you're passionate about healthcare administration and value work-life balance, apply today to become part of our mission-driven organization.
Responsibilities
- Process and submit accurate medical claims to insurance companies and government payers
- Verify patient eligibility, benefits, and coverage details prior to service
- Conduct thorough claim audits to identify and resolve billing discrepancies
- Appeal denied claims with supporting documentation and follow up on outstanding payments
- Maintain compliance with HIPAA, CMS, and payer-specific regulations
- Generate monthly reports on billing metrics and revenue cycle performance
- Collaborate with coding specialists to ensure proper CPT/ICD-10 assignment
Qualifications
- 3+ years of medical billing experience in a healthcare setting
- Certified Professional Biller (CPB) or CPC certification required
- Expert knowledge of CPT, HCPCS, and ICD-10 coding systems
- Proficiency in medical billing software (e.g., Epic, Cerner, or NextGen)
- Strong analytical skills with attention to detail and accuracy
- Excellent communication skills for patient and insurance interactions
- Ability to work independently in a remote environment
- Familiarity with Tennessee Medicaid and Medicare guidelines