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 billing actions.

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 for billing review, corrected claims, appeals, or secondary billing.
• Maintain HIPAA-compliant handling of PHI and account documentation.

Requirements:

• High School Diploma or GED required
• 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.
• 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 such as printer, copier, fax machine.
• Basic knowledge of collections industry preferred

Physical Requirements:

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

Automated Collection Services, Inc. is an Equal Opportunity Employer committed to diversity and inclusion.

Let's work together to achieve greatness!