Healthcare Billing Specialist — Claims & Reconciliation

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

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.