BILLER

Cullman Regional Medical Center Inc; Alabama; On-site; USD 40,000 - 60,000; Full time

Job summary

Cullman Regional Medical Center Inc is seeking a skilled medical billing specialist to manage daily claims on the XClaim platform, apply modifiers, and resolve outstanding balances in a timely manner. You will handle bill holds/releases and communicate with supervisory staff about problem accounts.

Requirements include a high school diploma and at least three years in a medical billing office, proficiency with Microsoft Office, and knowledge of CPT, ICD-9/ICD-10, and revenue codes.

Qualifications

• High school diploma required.
• Minimum three years' medical billing office experience.
• Proficient in Microsoft Office Suite and billing knowledge.

Responsibilities

• Process daily billing on the XClaim platform and resolve outstanding claims.
• Assist with bill holds/releases and pre-cert initiation as needed.
• Complete monthly contract billing and post payments; research unpaid accounts.
• Document events thoroughly and maintain patient safety and quality standards.

Skills

CPT codes

ICD-9/ICD-10 codes

Revenue codes

Modifiers

Microsoft Office

Education

High school diploma

Tools

XClaim billing platform

Microsoft Office Suite

Job description

Job Summary:Works the XClaim billing platform daily to resolve outstanding claims. This may include, but is not limited to, application of modifiers, creating split bill, combining claims, etc. Works additional hours as needed during \"drop dead\" period.Manages bill hold and bill releases as instructed. Notifies appropriate supervisory personnel of problem accounts.Begins the pre-cert initiation process for case management and sends notifications as appropriate.Completes monthly contract billing, including posting of payments and resolution of unpaid accounts.Works and completes daily, weekly and monthly reports.Accurately and thoroughly documents pertinent events regarding the handling of the account, including research of prior accounts.Demonstrates and encourages team behavior and exceptional patient/guest experiences.Upholds and promotes patient safety and quality.Education:High school diploma required.Experience:Minimum three years' medical billing office experience required. Must be proficient in Microsoft Office Suite of products. Knowledge of CPT codes, ICD-9 and ICD-10 codes, revenue codes and appropriate use of modifiers required. Computer experience required.Additional Skills/Abilities:XClaim billing platform helpful but not required. Knowledge of payor reimbursement methodology preferred.