BILLER (13881)

Cullman Regional; Cullman (AL); On-site; USD 38,000 - 48,000; Full time

Job summary

Cullman Regional Medical Center in Cullman, AL seeks a full-time Medical Billing Specialist to manage daily billing activities and ensure accurate posting of payments. You will handle claim resolution, pre-cert initiation, and timely reporting while maintaining high patient service standards.

Ideal candidates have at least three years of medical billing office experience, strong CPT/ICD coding knowledge, and proficiency with Microsoft Office.

Qualifications

• High school diploma required.
• Minimum three years' medical billing office experience.
• Proficient in Microsoft Office Suite.
• Knowledge of CPT codes, ICD-9 and ICD-10 codes, revenue codes and modifiers.
• Computer experience required.
• XClaim billing platform helpful but not required.
• Knowledge of payor reimbursement methodology preferred.

Responsibilities

• Works the XClaim billing platform daily to resolve outstanding claims.
• Manages bill hold and bill releases as instructed; notifies 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 documents pertinent events regarding account handling, including research of prior accounts.
• Demonstrates and encourages team behavior and exceptional patient/guest experiences.

Skills

Medical billing

CPT/ICD coding

Payment posting

Education

High school diploma

Tools

XClaim billing platform

Microsoft Office

Job description

Job Details:

Job Location: Cullman Regional Medical Center - Cullman, AL 35056, Position Type: Full Time, Job Shift: Any, Job Category: Health Care, 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.

Qualifications:

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.