Medical Billing Specialist

Cullman Internal Medicine is seeking a Medical Billing Specialist to join our team! The Billing Specialist is responsible for managing key components of the revenue cycle, including charge entry, payment posting, and accounts receivable (AR) follow-up, in addition to standard billing functions. This role ensures timely and accurate claim submission, payment reconciliation, and resolution of outstanding balances in compliance with payer guidelines and regulatory requirements.

Key Responsibilities:

Perform accurate and timely charge entry for professional services based on provider documentation and coding guidelines Post insurance and patient payments, adjustments, and denials with a high degree of accuracy Reconcile daily deposits and ensure alignment between posted payments and bank reports Conduct AR follow-up on outstanding claims, including contacting insurance carriers to resolve unpaid or underpaid claims Review and correct claim rejections and denials, identifying root causes and trends Submit corrected claims and appeals as necessary, ensuring proper documentation is maintained Verify patient insurance information and eligibility when needed to support billing accuracy Work aging reports and prioritize accounts based on payer requirements and timely filing limits Communicate effectively with payers, patients, and internal staff regarding billing issues Maintain compliance with federal and state regulations, including HIPAA and Alabama Medicaid policies Assist with month-end closing processes and reporting as assigned Collaborate with coding and clinical staff to resolve discrepancies in documentation or billing

THIS POSITION IS FULLY ON-SITE IN CULLMAN, ALABAMA M-F 8-5

Qualifications:

High school diploma or equivalent required; associate degree/certficate in healthcare administration or related field preferred Minimum of 2 years of medical billing experience, including charge entry, payment posting, and AR follow-up preferred Knowledge of CPT, ICD-10, and HCPCS coding principles Familiarity with Medicare, Alabama Medicaid, and commercial payer guidelines Experience with EMR/PM systems (e.g., eClinicalWorks, SystemedX, or similar) Strong attention to detail and organizational skills Ability to work independently and manage multiple priorities in a fast-paced environment

Work Environment:

Office-based healthcare setting in Cullman, Alabama May require extended periods of sitting and computer use Standard business hours with occasional overtime based on billing cycles