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_Job Summary_

_The Remote Medical Billing Specialist is responsible for processing, auditing, and submitting primary and secondary insurance claims, ensuring accuracy, compliance, and timely reimbursement. This role utilizes electronic claims management systems to review, correct, and resolve billing errors, denials, and rejections. The Billing Specialist I collaborates with internal teams, facility liaisons, and payers to ensure clean claim submission and adherence to federal, state, and payer-specific regulations._

_As a Billing Specialist at Community Health Systems (CHS) - Shared Services Center, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental, and vision insurance, paid time off (PTO), 401(k) with company match, tuition reimbursement, and more_

_Essential Functions_

+ _Processes and submits primary and secondary insurance claims accurately and in a timely manner, ensuring compliance with payer guidelines and regulatory requirements._

+ _Reviews and resolves claim errors, rejections, and denials, making necessary corrections and resubmitting claims as needed._

+ _Demonstrates working knowledge of billing forms, including UB-04, CMS-1500, or state-specific billing forms, ensuring claims are submitted with the appropriate documentation._

+ _Audits claims for accuracy, checking for duplicate charges, overlapped accounts, and missing information before submission._

+ _Investigates and processes rebill requests, verifying claim accuracy and making necessary updates per facility or coding liaison direction._

+ _Maintains knowledge of billing regulations, payer policies, and electronic submission guidelines, staying up to date with federal, state, and local billing requirements._

+ _Utilizes electronic billing systems to analyze, research, and transmit claims, ensuring proper documentation of actions taken in the collection system._

+ _Monitors and reports charging or edit trends, collaborating with internal teams (such as coding, patient access, and ancillary departments) to improve billing accuracy._

+ _Performs daily balancing tasks using SSI and other billing systems, escalating unresolved issues or billing delays to the Billing Services Manager._

+ _Communicates professionally with payers, facility representatives, and internal teams, ensuring efficient issue resolution and proper follow-up on outstanding claims._

+ _Performs other duties as assigned._

+ _Complies with all policies and standards._

_Qualifications_

+ _H.S. Diploma or GED required_

+ _Associate Degree in Business, Healthcare Administration, Medical Billing, or a related field preferred_

+ _0-1 years of experience in medical billing, insurance claims processing, or revenue cycle operations required_

+ _1-3 years of billing experience in a medical facility, ambulatory surgery facility, or acute-care preferred_

+ _Experience with hospital or physician billing, including knowledge of payer policies and electronic claims systems preferred_

_Knowledge, Skills and Abilities_

+ _Basic understanding of insurance claim processing, medical billing, and reimbursement guidelines._

+ _Familiarity with billing software, electronic claims management systems (e.g., SSI, Pulse/DAR), and eligibility tools._

+ _Knowledge of CMS, Medicaid, Medicare, and commercial insurance billing regulations._

+ _Ability to analyze and resolve claim errors, denials, and rejections efficiently._

+ _Strong attention to detail, organizational skills, and ability to meet deadlines._

+ _Proficiency in Microsoft Office Suite (Excel, Outlook, Word) and electronic health record (EHR) systems._

+ _Excellent communication and problem-solving skills, with the ability to interact professionally with internal teams and external payers._

We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

_This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer._

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.