Insurance Eligibility and Medical Billing Specialist

Join Our Award-Winning Team as a Client Services Team Member in our Medical Department!

Location: 304 Northcreek Blvd. Goodlettsville, TN. 37072

Our Mission

At ACSI, we are dedicated to continuous improvement for the benefit of our clients, employees, and community. We foster a culture that encourages fairness, friendliness, dignity, and respect in all our interactions.

Why Choose ACSI?

• Award-Winning Workplace: Recognized as one of The Tennessean’s Top Workplaces (2014–2025)
• A Culture of Respect: Treating everyone with Fairness, Friendliness, Dignity, and Respect (FFDR) is at the heart of everything we do.
• Newly Remodeled HQ: Work in a modern and welcoming corporate office located just outside Nashville.

What We Offer

• Competitive Pay: $20.00 - $24.00/hour depending on experience.
• Schedule: Monday-Thursday (8:00 AM - 5:00 PM) and Friday (8:00 AM - 3:00 PM) - weekends if needed
• Work-Life Balance: Hybrid schedule available after training with manager approval
• Comprehensive Benefits:
• Medical, dental, and vision insurance.
• Paid time off (PTO) and 8 paid holidays.
• 401(k) eligibility after 90 days.
• Health savings account
• Additional insurance options (life, disability, critical illness, accident).
• Employee Perks: Paid training to set you up for success, Teledoc

Job Summary:

We are a healthcare collection agency seeking an experienced Insurance Eligibility & Medical Billing Specialist to review patient accounts, verify insurance coverage, identify billable insurance, and help determine whether balances should be billed to insurance, returned to the provider, or pursued as patient responsibility.

This role is ideal for someone with medical billing, revenue cycle, insurance verification, or healthcare collections experience.

Responsibilities:

• Verify patient insurance eligibility using Office Ally and payer portals.
• Check coverage for specific dates of service.
• Review commercial insurance, Medicare, Medicaid, Medicare Advantage, and secondary coverage.
• Identify payer mismatches, terminated coverage, coordination of benefits issues, and possible rebilling opportunities.
• Document eligibility findings clearly in the collection system.
• Review accounts before patient collection activity when insurance may be available.
• Communicate with providers, billing departments, and internal collection staff.
• Assist with claim status checks when needed.
• Flag accounts that should be returned for billing review, corrected claims, appeals, or secondary billing.
• Maintain HIPAA-compliant handling of PHI and account documentation.

What We’re Looking For

Education: High School Diploma or GED required

Required Qualifications:

• 1 year of medical billing, insurance verification, revenue cycle, or patient account experience.
• Familiarity with eligibility checks, payer portals, and insurance terminology.
• Understanding of deductibles, copays, coinsurance, primary/secondary insurance, COB, Medicare, Medicaid, and managed care plans.
• Ability to read and interpret eligibility responses.
• Strong attention to detail and accurate documentation.
• Comfortable working high-volume account queues.
• HIPAA awareness and professionalism with patient information.

Knowledge/Skills:

• Experience with Office Ally.
• Healthcare collections or AR follow-up experience.
• Knowledge of claim status, denials, EOBs, ERAs, and patient responsibility.
• Experience with hospital, physician, ambulance, behavioral health, or specialty billing.
• Familiarity with Tennessee Medicaid / TennCare, Medicare, and commercial payer portals.
• Excellent written and verbal communication skills
• Minimum typing speed of 30 WPM
• Familiar with general office equipment - printer, copier, fax machine, etc.
• Basic knowledge of collections industry preferred

Success Measures:

• Eligibility checks completed accurately and timely.
• Insurance-found accounts properly flagged before collection.
• Fewer accounts pursued incorrectly as patient responsibility.
• Clear documentation supporting collection or rebilling decisions.
• Improved recovery through insurance identification and rebilling opportunities.

Physical Requirements:

• Ability to be present in the office and work 40 hours per week; evening and weekend work may be required as job duties demand
• Work is in a typical office environment; prolonged sitting required (1-2 hours at a time); ability to move around the office to attend meetings in other areas, etc.
• Lifting up to 10 lbs occasionally

Automated Collection Services, Inc. is proud to be an Equal Opportunity Employer committed to creating a diverse and inclusive workplace. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.

Let’s work together to achieve greatness!

Pay: From $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Application Question(s):

• Do you have Student Loans? (Yes/No)

Education:

• High school or equivalent (Required)

Experience:

• Medical Billing, Insurance Verification, etc: 1 year (Required)

Work Location: In person

Salary : $20 - $24