32 medical billing specialist jobs found in Nashville, TN

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve. Job Description: Role Summary The Medical Billing Specialist works under the direct supervision of the Director, Billing and AR. Responsibilities include all aspects of charge capture for Medical Oncology which entails accurate & timely...

Medical Billing Specialist/Coder, Business Office, Downtown NashvilleMidtown Plaza (PLZ) - Nashville, TN 37203OverviewPosition Type Full Time Job Shift Day Category FinanceDescriptionSUMMARY: The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice.ESSENTIAL DUTIES AND RESPONSIBILITIES:Reviews daily charges from the electronic health record to ensure coding and billing guidelines are followedUtilizes CPT, ICD-10CM, and HCPCS coding and modifier usage during daily reviewsUtilizes various coding and billing references to resolve complex billing scenariosEnsures progress notes are coded accurately and to the highest level of specificityMaintains strong knowledge of payer billing guidelines and policiesResearches front-end claim rejections and works cooperatively with appropriate staff to resolve discrepanciesTimely alert any...

Medical Billing Specialist The Medical Billing Specialist processes hospital claims for reimbursement. Responsibilities may include data entry, reconciling billings, checking balances, filing appeals, and maintaining patient files. Works with insurance companies to perform insurance billing, review, and verification of accounts in accordance with program provisions. Monday Friday 8:00 AM 4:30 PM Reporting Structure: Reports to the Revenue Cycle Manager Minimum Qualification Requirements Education:High School diploma or GED Equivalent required. Some college business training. Work Experience:Must have six months to one (1) year general office experience. Medical hospital billing experience preferred. License/Certification:N/ACore CompetenciesMission, VisionCore Value/Standards of ConductAIDET/Organizational ExpectationsSafetyQualityFlexibilityCustomer ServiceDiversity and InclusionFinanceAbuse and Neglect of Adult PatientAbuse and Neglect of Pediatric PatientAcute Coronary...

Medical Billing Specialist The Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts. ESSENTIAL JOB DUTIES: Extract and verify billing information from medical records Ensuring collection of past due balances; follow up as needed Ensure all patient demographic and insurance is accurate prior to submitting claims to insurance companies Answer patient account inquiries; assists establish alternative payment plans when necessary Maintain patient account records; settle third party payer issues as required Receive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS) Prepare and review patient statements prior to release through PMS Ensure timely filing of all Medicare, Medicaid, and third-party insurance claims Balance daily...

Medical Billing Specialist/Coder, Business Office, Downtown Nashville Midtown Plaza (PLZ) - Nashville, TN 37203 Overview Position Type Full Time Job Shift Day Category Finance Description SUMMARY: The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. ESSENTIAL DUTIES AND RESPONSIBILITIES: Reviews daily charges from the electronic health record to ensure coding and billing guidelines are followed Utilizes CPT, ICD-10CM, and HCPCS coding and modifier usage during daily reviews Utilizes various coding and billing references to resolve complex billing scenarios Ensures progress notes are coded accurately and to the highest level of specificity Maintains strong knowledge of payer billing guidelines and policies Researches front-end claim rejections and works cooperatively with appropriate staff to...

Medical Billing SpecialistThe Medical Billing Specialist is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts.To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.Extract and verify billing information from medical recordsEnsuring collection of past due balances; follow up as neededEnsure all patient demographic and insurance is accurate prior to submitting claims to insurance companiesAnswer patient account inquiries; assists establish alternative payment plans when necessaryMaintain patient account records; settle third party payer issues as requiredReceive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS)Prepare and review patient statements prior to release through PMSEnsure timely...

American Health Partners Franklin, TN 37067, USA The Medical Billing Specialist is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts. ESSENTIAL JOB DUTIES: To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. Extract and verify billing information from medical records Ensuring collection of past due balances; follow up as needed Ensure all patient demographic and insurance is accurate prior to submitting claims to insurance companies Answer patient account inquiries; assists establish alternative payment plans when necessary Maintain patient account records; settle third party payer issues as required Receive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS) Prepare and review...

Medical Billing SpecialistThe Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts.ESSENTIAL JOB DUTIES:Extract and verify billing information from medical recordsEnsuring collection of past due balances; follow up as neededEnsure all patient demographic and insurance is accurate prior to submitting claims to insurance companiesAnswer patient account inquiries; assists establish alternative payment plans when necessaryMaintain patient account records; settle third party payer issues as requiredReceive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS)Prepare and review patient statements prior to release through PMSEnsure timely filing of all Medicare, Medicaid, and third-party insurance claimsBalance daily charges;...

Medical Billing SpecialistThe Medical Billing Specialist processes hospital claims for reimbursement. Responsibilities may include data entry, reconciling billings, checking balances, filing appeals, and maintaining patient files. Works with insurance companies to perform insurance billing, review, and verification of accounts in accordance with program provisions.Monday Friday 8:00 AM 4:30 PMReporting Structure:Reports to the Revenue Cycle ManagerMinimum Qualification RequirementsEducation:High School diploma or GED Equivalent required. Some college business training.Work Experience:Must have six months to one (1) year general office experience. Medical hospital billing experience preferred.License/Certification:N/ACore CompetenciesMission, VisionCore Value/Standards of ConductAIDET/Organizational ExpectationsSafetyQualityFlexibilityCustomer ServiceDiversity and InclusionFinanceAbuse and Neglect of Adult PatientAbuse and Neglect of Pediatric PatientAcute Coronary Syndrome/Chest...

Heritage Medical Associates is looking for a Charge Entry Specialist in Nashville, TN. The role involves capturing and reviewing billing codes to ensure accuracy and adherence to coding guidelines for a multi-specialty physician group. The ideal candidate should have at least 5 years of medical billing experience, proficiency in CPT and ICD-10 coding, and a strong attention to detail. This full-time position offers a dynamic work environment with opportunities for growth and professional development. #J-18808-Ljbffr

Dialysis Clinic, Inc. in Nashville is seeking a Billing Specialist to manage monthly billable charges, monthly claims billing, and collections in a fast-paced healthcare environment. This role requires excellent communication, sharp attention to detail, and advanced skills in Microsoft Word and Excel; an Associates degree is preferred and at least two years' medical billing experience. We offer comprehensive benefits and a supportive nonprofit culture. #J-18808-Ljbffr

Surgery Partners, Inc. is seeking a Billing and Coding Supervisor to oversee remote claims processing and ensure accurate Medicare/Medicaid billing practices. You will coordinate with medical staff and external agencies to resolve disputed claims and maintain regulatory compliance. Requirements include a high school diploma and at least two years of medical office billing experience; billing certification is preferred. This role offers comprehensive health benefits and a 401(k) retirement plan. #J-18808-Ljbffr

HUMBLE VASCULAR SURGICAL CENTER INC is seeking a Billing and Coding Supervisor for a remote role. The position oversees medical office billing procedures, ensures accurate CPT/ICD-9 coding, and manages payer communications. A high school diploma and at least two years of billing experience are required; billing certification is preferred. The supervisor will maintain compliance with policies, analyze claims, and coordinate with staff to resolve discrepancies and improve reimbursement outcomes. #J-18808-Ljbffr

Job Description Job Description Duties and Responsibilities / Essential Functions: 1. Coordinates directly with medical providers to gather all necessary documentation—including progress notes, prescriptions, face-to-face examinations, letters of medical necessity, and Assistive Technology Professional (ATP) evaluations—strictly adhering to specific payer guidelines and timelines. 2. Serves as a primary liaison by maintaining regular, professional contact with non-restricted referral sources, physicians, physical/occupational therapists, ATPs, and clients to pursue missing or incomplete records. 3. Conducts rigorous reviews of incoming medical files to verify policy compliance, accurately identifies and titles each document type, and validates information before final preservation in the electronic medical record. 4. Prioritizes and drives the timely resolution of all "Funding Action Required" items to prevent delays. Required Education, Experience &...

Job Description Duties and Responsibilities / Essential Functions: Coordinates directly with medical providers to gather all necessary documentation-progress notes, prescriptions, face-to-face examinations, letters of medical necessity, and Assistive Technology Professional (ATP) evaluations-strictly adhering to specific payer guidelines and timelines. Serves as a primary liaison by maintaining regular, professional contact with non-restricted referral sources, physicians, physical/occupational therapists, ATPs, and clients to pursue missing or incomplete records. Conducts rigorous reviews of incoming medical files to verify policy compliance, accurately identifies and titles each document type, and validates information before final preservation in the electronic medical record. Prioritizes and drives the timely resolution of all "Funding Action Required" items to prevent delays. Required Education, Experience & Competencies: 1-2 years experience in healthcare, Complex Rehab...

Practice Management Resource Group in the United States is seeking a Medical Biller to join our remote team. You will work with clients to answer billing questions, process insurance forms, and collect documentation. The ideal candidate has attention to detail, strong customer service, and phone experience. You will collaborate with physicians' offices and hospitals to obtain records and ensure accurate patient information. #J-18808-Ljbffr

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve. Job Description: Role Summary: The Medical Coding and Billing Specialist is responsible for writing and maintaining coding and billing rules in the practice management system. The position is also responsible for reviewing and...

CleanSlate Centers in Brentwood, TN is seeking a Coding Compliance Specialist to ensure adherence to the organization's coding procedures and standards under the Coding Manager. The role requires extensive knowledge of coding compliance, provider documentation, and the medical billing process, plus working knowledge of insurance company processes and privacy laws as they relate to medical coding. Strong typing, reading, and comprehension skills are also needed. #J-18808-Ljbffr

Humble Vascular Surgical Center Inc. in Nashville, TN seeks a Billing and Coding Supervisor with a high school diploma and at least two years of medical office billing experience. Billing certification is preferred and knowledge of 3rd party payer processes, HCPC, CPT, ICD-9 coding is desired. The role emphasizes resolving disputed claims, ensuring compliance with policies, and staying current on billing regulations. #J-18808-Ljbffr

Surgery Partners, Inc. is seeking a Billing and Coding Supervisor to oversee claims processing and ensure accurate billing across the organization. You will resolve disputed claims, verify data, and work with internal teams to improve reimbursement outcomes. The ideal candidate has at least two years of medical office billing experience, knowledge of E/M coding, and familiarity with payer requirements. A high school diploma is required, with billing certification preferred. #J-18808-Ljbffr

Surgery Partners, Inc. seeks a Billing and Coding Supervisor to oversee medical office billing procedures and ensure accurate claims processing. The role requires knowledge of Physician E&M billing, CPT/HCPCS, ICD-9 coding, and familiarity with Medicare/Medicaid guidelines. The ideal candidate has at least two years of experience in medical billing and a billing certification is preferred. This on-site position offers comprehensive benefits and opportunities for professional development. #J-18808-Ljbffr

Surgery Partners in Nashville is seeking a Billing and Coding Supervisor to oversee claims processing and reimbursement workflows in our busy office. You will resolve disputed claims, ensure compliance with payer rules, and stay current on Medicaid/Medicare billing. A solid knowledge of E&M coding and payer guidelines is essential for success. This position requires a high school diploma and at least two years of medical billing experience; billing certification is preferred. #J-18808-Ljbffr

OneOncology is positioning community oncologists to drive the future of medical care through a patient‑centric, physician‑driven, and technology‑powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values‑driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly‑motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve. Job Description: Under general supervision the Medical Coding Specialist , performs daily charge review of visits, diagnosis, radiation oncology or surgeries for accurate level and coding. Responsible for input charges into practice...

Job Details Job Location: Midtown Plaza (PLZ) - Nashville, TN 37203. Position Type: Full Time. Job Shift: Day. Job Category: Finance. Summary The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. Essential Duties and Responsibilities Captures and reviews daily charges from the Electronic Health Record’s Charge Passing System to ensure standard coding and billing guidelines are followed correctly. Utilizes CPT, ICD-10CM, and HCPCS coding as well as correct Modifier usage during daily reviews of Primary Care services. Other specialties may be added based on performance level. Communicates effectively and respectfully, both in verbal and written form, with providers or clinical staff to obtain missing or incomplete information. Audits the imported encounters against the daily appointment schedule to ensure all encounters have...