Remote Healthcare Billing Specialist (Revenue Cycle)

Addiction And Mental Health Services; Birmingham (AL); Hybrid; USD 42,000 - 52,000; Full time

Job summary

Bradford Health Services in Birmingham, AL is seeking a Billing Specialist to ensure accurate and timely submission of claims to third-party payers. You will review patient accounts, resolve charge errors, validate charges, and ensure compliance with payer and regulatory requirements.

The role requires strong healthcare billing experience, attention to detail, and the ability to work cross-functionally with revenue cycle teams to resolve issues and improve processes.

Qualifications

• 2–3 years of healthcare billing experience
• Strong working knowledge of healthcare claim submission and billing processes
• Demonstrated experience researching and resolving service warnings, charge errors, claim edits, clearinghouse rejections, payer rejections and account discrepancies
• Strong attention to detail with the ability to identify inconsistencies and potential billing issues
• Ability to interpret payer billing requirements and apply them accurately to patient accounts
• Strong analytical, research, and problem-solving skills
• Ability to manage multiple priorities and meet established billing deadlines
• Strong written and verbal communication skills
• Proficiency with electronic health records, patient accounting/billing systems, clearinghouses, and Microsoft Office applications

Responsibilities

• Review patient accounts and billing work queues to ensure claims are generated and submitted accurately and in a timely manner
• Research and resolve charge errors, billing edits, claim warnings, and other system-generated exceptions preventing claims from being released
• Validate charges for accuracy, completeness, and appropriate dates of service prior to claim submission
• Review claims for appropriate revenue codes, HCPCS/CPT codes, modifiers, bill types, and other required billing elements, as applicable
• Ensure claims are submitted in accordance with payer-specific, contractual, and regulatory billing requirements
• Identify missing, incomplete, or inconsistent information that may result in claim rejection or denial and coordinate resolution prior to billing
• Research patient accounts, authorization information, eligibility, payer requirements, and supporting documentation when necessary to resolve billing issues
• Monitor unbilled accounts and billing work queues to identify and address barriers to timely claim submission
• Maintain established billing productivity and quality standards while prioritizing accuracy and clean-claim submission
• Review rejected claims and clearinghouse edits and make appropriate corrections for timely resubmission
• Identify recurring billing or charge capture issues and identifies trends to leadership for process improvement
• Collaborate with Utilization Review, Patient Financial Services, clinical teams, facility operations, and other Revenue Cycle departments to resolve account discrepancies
• Maintain thorough and accurate account documentation regarding billing actions and issue resolution
• Protect patient confidentiality and maintain compliance with HIPAA and organizational policies
• Remain current on payer billing requirements and changes that may impact claim submission
• Assist with special billing projects, account reviews, audits, and other revenue cycle initiatives as assigned
• Exceptional attention to detail and commitment to billing accuracy
• Strong understanding of the healthcare revenue cycle and the relationship between charge capture, authorization, billing, and reimbursement
• Ability to independently research complex account issues and determine appropriate resolution
• Ability to recognize potential billing errors before claims are submitted
• Strong organizational and time-management skills
• Ability to work effectively in a high-volume, deadline-driven environment
• Ability to identify trends and distinguish isolated account issues from broader process or system problems
• Strong sense of accountability and ownership for assigned accounts and work queues
• Ability to collaborate effectively across departments and communicate billing issues clearly and professionally

Skills

Billing knowledge

Researching issues

Attention to detail

Communication

MS Office

EHR software

Education

Associate degree in healthcare administration, business, finance, or related field

High school diploma or equivalent

Tools

EHR systems

Billing software

Clearinghouses

Job description

Bradford Health Services in Birmingham, AL is seeking a Billing Specialist to ensure accurate and timely submission of claims to third-party payers. You will review patient accounts, resolve charge errors, validate charges, and ensure compliance with payer and regulatory requirements.

The role requires strong healthcare billing experience, attention to detail, and the ability to work cross-functionally with revenue cycle teams to resolve issues and improve processes.