Medical Billing Support Specialist, Business Office, Downtown Nashville

Heritage Medical AssociatesNashville, TN
12dOnsite

About The Position

The Medical Billing Support Specialist is responsible for preparing, reviewing, and submitting supporting documentation to insurance companies to ensure accurate and timely reimbursement. Submission of medical records may be in response to a request from the insurance company or as part of an appeal process based on denial. This role requires strong attention to detail, knowledge of billing procedures, and the ability to maintain patient confidentiality in accordance with HIPAA regulations.

Requirements

  • High school diploma or GED required; certification in medical billing or coding preferred
  • 1–2 years of experience in medical billing, medical records, or healthcare clerical support
  • ICD-10, CPT, and HCPCS coding systems
  • Familiarity with insurance medical policies
  • Experience with EHR/EMR systems
  • Knowledge of insurance claims processes and medical terminology
  • Strong organizational skills and attention to detail
  • Proficiency in Microsoft Office and basic data entry
  • Ability to work independently and meet deadlines
  • Excellent written and verbal communication skills
  • Strong problem-solving abilities
  • Time management and multitasking skills
  • Ability to handle confidential information with discretion
  • Team-oriented with a customer service mindset

Nice To Haves

  • certification in medical billing or coding preferred

Responsibilities

  • Open and distribute mail for Business Services Department
  • Monitor mail and insurance company portals for incoming correspondence
  • Construction of appeal letters
  • Review patient charts and medical documentation for completeness and accuracy
  • Prepare and submit medical records to insurance companies, clearinghouses, and other third-party payers
  • Ensure proper coding documentation supports billed services (ICD-10, CPT, HCPCS)
  • Upload and transmit medical records through electronic health record (EHR) systems
  • Respond to insurance requests for additional information in a timely manner
  • Track submission status and follow up on outstanding or denied claims
  • Maintain organized filing systems for electronic and paper records
  • Communicate with billing department, providers, and insurance representatives as needed
  • Ensure compliance with HIPAA and company confidentiality policies
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