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Pre Billing Jobs in Tennessee (NOW HIRING)

Synergy Shared Services

Pre-Bill Specialist

Nashville, TN · On-site

$18.50 - $25/hr

Perform detailed pre billing audits on all Home Health and Hospice charts to verify documentation completeness and accuracy. * Confirm all visit notes, supervisory notes, plans of care, OASIS ...

Synergy Shared Services

Pre-Bill Specialist

Nashville, TN

$17.50 - $23.25/hr

Perform detailed pre billing audits on all Home Health and Hospice charts to verify documentation completeness and accuracy. * Confirm all visit notes, supervisory notes, plans of care, OASIS ...

Synergy Shared Services

Pre-Bill Specialist

Nashville, TN · On-site

$17.50 - $23.25/hr

Perform detailed pre billing audits on all Home Health and Hospice charts to verify documentation completeness and accuracy. * Confirm all visit notes, supervisory notes, plans of care, OASIS ...

Synergy Shared Services

Pre-Bill Specialist

Nashville, TN · On-site

$18.50 - $25/hr

Completes an administrative record audit following patient discharge or prior to billing and ... of Pre-Bill Specialist today! The employer for this position is stated in the job posting. The ...

Synergy Shared Services

Pre-Bill Specialist

Nashville, TN · On-site

$17.50 - $23.25/hr

Completes an administrative record audit following patient discharge or prior to billing and ... of Pre-Bill Specialist today! The employer for this position is stated in the job posting. The ...

Synergy Shared Services

Pre-Bill Specialist

Nashville, TN

$18.50 - $25/hr

Work closely with clinical, scheduling, and billing teams to resolve documentation gaps that may ... of Pre-BillSpecialist today! The employer for this position is stated in the job posting. The ...

Advertising Checking Bureau

Billing Specialist

Memphis, TN · On-site

$17.25 - $23.25/hr

Using pre-formatted excel templates, populate billing information provided by each department for their respective clients. * Communicate with departments on billing related issues. * Enter the ...

Advertising Checking Bureau

Billing Specialist

Memphis, TN · On-site

$17.25 - $23.25/hr

Using pre-formatted excel templates, populate billing information provided by each department for their respective clients.Communicate with departments on billing related issues.Enter the respective ...

OneOncology

Sr. Manager, RCM

Nashville, TN · On-site

This role oversees the pre-billing, EDI and Accounts Receivable teams for the Practice Specialty. The role will require collaboration with Practice Staff, Operational Leadership, RCM teams and vendor ...

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All JobsPre Billing JobsPre Billing Jobs in Tennessee

Pre Billing information

What is a pre billing?

Pre Billing jobs involve preparing and reviewing billing information before invoices are sent to clients or customers. Professionals in this role ensure that all necessary documentation, approvals, and data are accurate and complete, which helps prevent billing errors and delays. Their responsibilities may include verifying service delivery, checking contract terms, and collaborating with other departments to resolve discrepancies. This role is essential for maintaining accurate financial records and ensuring timely payments.

What are some common challenges faced in a pre billing role, and how can they be managed effectively?

Professionals in Pre Billing often encounter challenges such as ensuring accurate data entry, reconciling discrepancies between services rendered and billing records, and coordinating with various departments to gather necessary information before invoices are generated. Effective communication and strong organizational skills are crucial to meet tight deadlines and prevent billing errors. Utilizing billing software efficiently and maintaining regular check-ins with operational teams can help streamline processes and minimize errors, contributing to smoother billing cycles and improved client satisfaction.

What are the key skills and qualifications needed to thrive as a pre billing specialist, and why are they important?

To thrive as a Pre Billing Specialist, you need strong analytical skills, attention to detail, and a background in finance, accounting, or business administration. Familiarity with billing software, ERP systems, and proficiency in Microsoft Excel are typically required, and experience with industry-specific platforms can be beneficial. Excellent organizational skills, time management, and clear communication are crucial soft skills for managing high volumes of billing data and collaborating with cross-functional teams. These abilities ensure accurate and timely invoice preparation, minimize errors, and support efficient revenue cycles within an organization.

What is the difference between Pre Billing vs Billing Specialist?

AspectPre BillingBilling Specialist
Primary RolePrepares and verifies billing data before invoicingProcesses and issues invoices to clients
CredentialsTypically requires basic accounting or administrative skillsOften requires accounting or finance background
Work EnvironmentOffice setting, often in healthcare, legal, or service industriesOffice setting, in finance, healthcare, or legal sectors
Key ResponsibilitiesData verification, document review, ensuring billing accuracyGenerating invoices, payment processing, account reconciliation

Pre Billing focuses on preparing and verifying billing data before invoicing, ensuring accuracy and completeness. Billing Specialists handle the actual invoicing process, managing payments and account reconciliation. While both roles require attention to detail and some accounting knowledge, Pre Billing is more about data preparation, whereas Billing Specialists execute the billing process.

Is it hard to get hired as a pre billing?

Getting hired as a pre billing specialist typically depends on relevant experience, attention to detail, and familiarity with billing software. Entry-level positions may have lower requirements, but competition can vary based on location and industry demand.

What cities in Tennessee are hiring for Pre Billing jobs?

Cities in Tennessee with the most Pre Billing job openings:

Pre Billing jobs near you

Pre-Bill Specialist

Synergy Shared Services

Nashville, TN • On-site

$18.50 - $25/hr

Full-time

Re-posted 18 days ago

Job description

Join Synergy's high performing revenue cycle team as a Pre-Bill Review Specialist! We are seeking a detail driven, compliance focused professional to ensure accuracy and completeness of all documentation before claims are submitted. Your commitment to precision will directly support clean claims, faster reimbursement, and the overall financial health of our patient-centered services.
About the Role
The Pre-Bill Review Specialist is responsible for conducting comprehensive audits of patient charts prior to claim submission. This role ensures that all required documentation, authorizations, visit notes, orders, and payer-specific elements are complete, compliant, and correctly aligned with billing requirements. As a critical part of the revenue cycle, this position helps prevent denials, accelerate reimbursement, and safeguards regulatory compliance across Home Health and Hospice programs.
Key Responsibilities
Chart Review & Audit
  • Perform detailed pre billing audits on all Home Health and Hospice charts to verify documentation completeness and accuracy.
  • Confirm all visit notes, supervisory notes, plans of care, OASIS assessments, certifications, and recertifications are signed, dated, and compliant with payer and regulatory requirements.
  • Completes an administrative record audit following patient discharge or prior to billing and forwards abnormal results to the Clinical Director or their designee for clinical audit.
  • Supervises the use of the clinical records information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.

Authorization & Eligibility Verification
  • Validate patient eligibility, insurance coverage, and authorization requirements prior to claim release.
  • Ensure authorizations are active and applicable to the dates, disciplines, and service types billed.

Compliance & Quality Assurance
  • Identify missing or non-compliant documentation and collaborate with clinical teams to resolve deficiencies prior to billing.
  • Ensure all documentation adheres to federal and state regulations, Medicare/Medicaid requirements, and internal policies.
  • Ensures clinical record systems are maintained in compliance with state, federal and regulations.
  • Maintains comprehensive working knowledge of state, federal regulations and serves as a resource for appropriate organization personnel.

Coordination & Communication
  • Work closely with clinical, scheduling, and billing teams to resolve documentation gaps that may delay claim submission.
  • Provide timely feedback and clarification on documentation discrepancies to ensure efficient workflow.
  • Communicates effectively, professionally, and thoroughly with staff regarding coordination of care expectations, educates and enforces deadlines, and establishes and maintains positive working relationships with current staff and contract staff.

Regulatory & Billing Alignment
  • Maintain current knowledge of Home Health and Hospice regulatory requirements, and payer-specific pre-billing criteria.
  • Verify that documentation supports the codes, service lines, frequencies, and episodes billed.

Qualifications
Required
  • Minimum of 1 year of experience in Home Health or Hospice documentation review, QA, billing, or coding.
  • Understanding Medicare, Medicaid, Government, and Commercial payer documentation requirements.
  • Experience working within an EMR and familiarity with workflow queues, chart audits, and documentation compliance.
  • Knowledge of corporate business management and governmental regulations
  • Demonstrates good communication skills and public relations skills.

Preferred
  • Prior experience conducting prebilling or QA reviews in a Home Health or Hospice setting.
  • Familiarity CMS requirements for Home Health and Hospice admissions, signed orders compliance, regulatory forms and criteria for compliant billing.
  • Use of Home Care Home Base (HCHB) EMR, Mosai (formerly known as Forcura) e-fax portal.

Skills and Competencies
  • Exceptional attention to detail and strong commitment to documentation accuracy.
  • Ability to identify compliance issues and communicate them clearly and professionally.
  • Highly organized with the ability to manage multiple charts and deadlines simultaneously.
  • Strong critical thinking skills to evaluate chart completeness and identify potential issues before claims are submitted.
  • Collaborative and proactive approach to working with clinical and billing teams.
  • Ethical and compliance driven mindset.

If you take pride in accuracy, compliance, and ensuring a smooth revenue cycle, we invite you to apply for the role of Pre Bill Review Specialist today!
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

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