Medical Billing Specialist

Cullman Internal Medicine PC

Medical Billing Specialist

Cullman, AL
Full Time
Paid
  • Responsibilities

    Cullman Internal Medicine is seeking a Medical Billing Specialist to join our team!

    The Billing Specialist is responsible for managing key components of the revenue cycle, including charge entry, payment posting, and accounts receivable (AR) follow-up, in addition to standard billing functions. This role ensures timely and accurate claim submission, payment reconciliation, and resolution of outstanding balances in compliance with payer guidelines and regulatory requirements.

    Key Responsibilities:

    Perform accurate and timely charge entry for professional services based on provider documentation and coding guidelines

    Post insurance and patient payments, adjustments, and denials with a high degree of accuracy

    Reconcile daily deposits and ensure alignment between posted payments and bank reports

    Conduct AR follow-up on outstanding claims, including contacting insurance carriers to resolve unpaid or underpaid claims

    Review and correct claim rejections and denials, identifying root causes and trends

    Submit corrected claims and appeals as necessary, ensuring proper documentation is maintained

    Verify patient insurance information and eligibility when needed to support billing accuracy

    Work aging reports and prioritize accounts based on payer requirements and timely filing limits

    Communicate effectively with payers, patients, and internal staff regarding billing issues

    Maintain compliance with federal and state regulations, including HIPAA and Alabama Medicaid policies

    Assist with month-end closing processes and reporting as assigned

    Collaborate with coding and clinical staff to resolve discrepancies in documentation or billing

    THIS POSITION IS FULLY ON-SITE IN CULLMAN, ALABAMA M-F 8-5

    Qualifications:

    High school diploma or equivalent required; associate degree/certficate in healthcare administration or related field preferred

    Minimum of 2 years of medical billing experience, including charge entry, payment posting, and AR follow-up preferred

    Knowledge of CPT, ICD-10, and HCPCS coding principles

    Familiarity with Medicare, Alabama Medicaid, and commercial payer guidelines

    Experience with EMR/PM systems (e.g., eClinicalWorks, SystemedX, or similar)

    Strong attention to detail and organizational skills

    Ability to work independently and manage multiple priorities in a fast-paced environment

    Work Environment:

    Office-based healthcare setting in Cullman, Alabama

    May require extended periods of sitting and computer use

    Standard business hours with occasional overtime based on billing cycles