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Community Health Systems · 4 months ago

Medicare Billing Specialist- Onsite

923 EAST CENTRAL AVENUE, LA FOLLETTE, TN, 37766, US

Full-time

Onsite

Entry Level

1+ years exp

Community Health Systems is seeking a Medicare Billing Specialist responsible for performing timely and accurate Medicare billing activities. This role involves collaborating with various teams to ensure compliance with billing regulations and resolving claim discrepancies to facilitate proper reimbursement.

Health CareHospital

Responsibilities

Prepares and submits Medicare claims in accordance with billing guidelines and payer requirements

Validates patient coverage and benefits using tools such as Common Working File (CWF), payer portals, and internal systems

Coordinates with admissions and clinical teams to ensure complete documentation and accurate financial account setup

Tracks and monitors census data to identify discrepancies and resolve issues impacting billing

Supports the month-end billing process, including clearing system edits, resolving errors, and participating in claim reviews

Monitors co-pay responsibilities and coordinates with financial counselors for communication and collection when applicable

Ensures documentation and billing practices align with audit and compliance expectations

Escalates unresolved billing issues or delays to appropriate leadership

Performs other duties as assigned

Complies with all policies and standards

Qualification

Medicare billingClaims processingBilling systemsElectronic health recordsMedicare regulationsAnalytical skillsTask managementBilling complianceOrganizational skillsCommunication skillsAttention to detail

Required

1-2 years of experience in understanding the minimum requirements needed for Medicare billing, medical claims processing, or hospital revenue cycle operations required