Community Health Systems · 5 months ago
Billing Specialist I
314 MERCHANTS DR, KNOXVILLE, TN, 37912, US
Full-time
Onsite
New Grad, Entry Level
0+ years expCommunity Health Systems is a healthcare organization seeking a Billing Specialist I. The role involves performing insurance claim processing and billing, serving as the primary contact for insurance companies, and ensuring compliance with billing regulations.
Health CareHospital
Responsibilities
Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies
Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status
Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines
Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions
Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts
Maintains accurate documentation of all billing actions in the practice management system
Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials
Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures
Assists patients and insurance representatives with billing-related questions while maintaining professionalism
Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information
Performs other duties as assigned
Complies with all policies and standards
Qualification
Required
0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required
Knowledge of medical billing processes, insurance claim procedures, and payer policies
Strong understanding of healthcare revenue cycle operations and reimbursement methodologies
Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med)
Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action
Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally
Strong analytical and problem-solving abilities to research and resolve billing issues
Attention to detail and ability to manage multiple tasks while meeting deadlines
Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality
Preferred
CPB- Certified Medical Biller issued by AAPC preferred
Certified Medical Insurance Specialist (CMIS) issued by PMI preferred
Company
Community Health Systems
Community Health Systems is one of the nation’s leading healthcare providers.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$3.67B2025-07-28Post Ipo Debt· $1.79B
2024-05-21Post Ipo Debt· $1.12B
2023-12-11Post Ipo Debt· $750M
Leadership Team
Jason Johnson
SVP, Chief Accounting Officer
Hunter Phillips
Director Strategic Consumer Engagement
Recent News
Business Wire
2025-12-03
Morningstar.com
2025-11-05
PR Newswire
2025-10-28
Company data provided by crunchbase