Medical Billing Specialist

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 accounts receivable 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

Qualifications

• High school diploma or equivalent required; associate degree or certificate 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 such as eClinicalWorks, SystemedX, or similar
• Strong attention to detail and organizational skills
• Ability to work independently and manage multiple priorities in a fast-paced environment

• Health insurance
• Paid time off
• 401(k) matching
• Dental insurance