Medical Billing & Claims Specialist II

Community Health Systems; Birmingham (AL); On-site; USD 45,000 - 55,000; Full time

Job summary

Community Health Systems in Birmingham, Alabama, is looking for a Billing Specialist II to manage complex billing functions, ensure timely claims processing, and resolve issues with accounts. The role involves being the primary contact for insurance companies and assisting with team training.

Successful candidates will have 2-4 years of experience in medical billing and strong knowledge of payer policies. Skills in electronic health records and compliance with HIPAA are essential for this position.

Qualifications

• Experience in managing complex billing functions and claims processing.
• Ability to resolve issues related to insurance payments and account balances.
• Proficient in research to facilitate claim resolution.

Responsibilities

• Manage billing inquiries for insurance companies, payers, and patients.
• Review and process insurance claims for timely submission.
• Identify and resolve credit balances and billing discrepancies.
• Support team training on billing updates and maintain documentation.
• Ensure compliance with payer regulations and HIPAA standards.

Skills

Medical billing processes

Insurance claim procedures

Revenue cycle management

Electronic health records (EHR)

HIPAA regulations

Communication skills

Problem-solving skills

Training and mentoring

Education

2-4 years of experience in medical billing

1-3 years in collections

0-1 years of experience with Medicare

Tools

Athena

Cerner

Ingenious Med

Job description

Community Health Systems in Birmingham, Alabama, is looking for a Billing Specialist II to manage complex billing functions, ensure timely claims processing, and resolve issues with accounts. The role involves being the primary contact for insurance companies and assisting with team training.

Successful candidates will have 2-4 years of experience in medical billing and strong knowledge of payer policies. Skills in electronic health records and compliance with HIPAA are essential for this position.