PRN Billing/Collections Specialist

Position Information

Job Title PRN Billing/Collections Specialist Department Office of Practice Pay Grade Job Category Temporary Job Summary

The ETSU College of Nursing, Office of Practice, is seeking to fill a PRN Billing/Collections Specialist position.

The Billing/Collections Specialist processes and posts insurance/patient payments and generates billing statements. The level of responsibility and compensation will be commensurate with the candidate's experience and qualifications.

Billing and Collections II, Level 8

• Reviews charges for correct coding and forwards to Billing Company.
• Ensures we are providing required documentation for participation in third party payment incentive programs.
• Processes and posts all payment types in the electronic practice management/health records system.
• Generates and mails billing statements from the electronic practice management/health records system.
• Answers telephone and in-person inquiries regarding explanation of benefit documents for, charges, payments and adjustments and amounts due.
• Ensures accuracy of information in the electronic practice management/health records system.
• Trains and supervises student workers.
• Identifies coding irregularities within electronic practice management/health records system.
• Performs other duties as assigned.

Billing & Collections Specialist I, Level 7

• Processes and posts insurance payment in the electronic practice management/health records system.
• Processes and posts patient payments in the electronic practice management/health records system.
• Answers telephone and person inquiries and/or routes to appropriate personnel.
• Trains and supervises student workers.
• Identifies coding irregularities within electronic practice management/health records system.
• Provides training related to coding errors.
• Performs other duties as assigned.

This position MAY have the potential to become a regular full-time position.

ETSU is committed to ensuring that our students, faculty, and staff are valued and work in an environment of openness and acceptance. ETSU is an Equal Opportunity employer.

Disclaimer:The Job Summary is intended to describe the general nature and level of work individuals perform in this classification. It is not intended to be a complete list of all responsibilities, duties, and skills required. Management reserves the right to revise the job or require different tasks to be performed as assigned to reflect changes in the position. Employees must be able to perform the position's essential functions satisfactorily with or without reasonable accommodations.

Knowledge, Skills and Abilities

Billing and Collections II, Level 8

• Knowledge of the medical billing and collections revenue cycle and ability to recognize data trends and recommend adjustments and implement appropriate changes to our processes
• Strong interpersonal skills and the ability to align tasks and responsibilities with appropriate team members
• Knowledge of insurance and medical billing.
• Knowledge of Medicare and Medicaid billing regulations.
• Knowledge of coding for claims, coding certification.
• Knowledge of HIPAA Privacy and Security.
• Efficient with Microsoft Office programs, specifically Excel.
• Ability to communicate effectively, orally and in writing.
• Ability to solve problems and work with a team.

Billing & Collections Specialist I, Level 7

• Knowledge of insurance and medical billing.
• Knowledge of Medicare and Medicaid billing regulations.
• Knowledge of coding for claims, coding certification.
• Knowledge of HIPAA Privacy and Security.
• Efficient with Microsoft Office programs, specifically Excel.
• Ability to communicate effectively, orally and in writing.
• Ability to solve problems and work with a team.

Required Qualifications

Billing & Collections Specialist II, Level 8

• High school diploma or equivalent.
• Three (3) to four (4) years experience medical office billing and coding.
• Three (3) years of experience with electronic health records (EMP/HER) system.
• Three (3) years experience with insurance claims processing.

Billing & Collections Specialist, Level 7

• High school diploma or equivalent
• One (1) to two (2) years of experience medical office billing and coding.
• One (1) year of billing functions on electronic health records (EPM/EHR) system.
• One (1) year of experience with insurance claims processing.

Preferred Qualifications

Certified Professional Coding (CPC) Certification or Certified Revenue Cycle Representative (CRCR) certification.

Salary based on experience

Posting Detail Information

Posting Number SS01737P Is this position subject to a criminal background check? Yes Is any part of the funding for this posting coming from a grant or outside funding source? Yes Open Date 02/17/2025 Close Date Open Until Filled Yes Special Instructions to Applicants

Support Staff positions are only required to be posted for a minimum of five (5) calendar days. The closing date for this posting is subject to change without notice to applicants. All positions at East Tennessee State University are contingent upon sufficient funding.