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