CLN Billing Specialist (FT) OHG Administration at Huntsville Hospital Health System

, Alabama, United States -

Full Time

Start Date

Immediate

Expiry Date

30 Apr, 26

Salary

0.0

Posted On

30 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Accounts Receivable, Revenue Cycle, Claim Submission, Payment Posting, Denial Management, Reconciliation, Financial Accuracy, Communication Skills, Organizational Skills, Detail-oriented, Cross-training, Billing Cycle Functions, Workers' Compensation Guidelines, Occupational Medicine Billing, Confidentiality

Industry

Hospitals and Health Care

Description

Overview The OHG Billing Specialist is responsible for managing the full billing cycle across both insurance and company contract accounts for Occupational HealthGroup. This includes charge entry, claim submission, payment posting, denial management, reconciliation, and month-end reporting. In addition to workers’ compensation claims, the specialist handles occupational medicine company billing, including verification of authorizations, contracted services, monthly invoices, and physician/provider time allocations.All team members are cross-trained in every function of the billing functions, ensuring department-wide coverage, efficiency, and accuracy. The position requires strong billing and coding knowledge, financial accuracy, and professional communication skills to maintain compliance with workers’ compensation regulations and company agreements. Qualifications Education Required• High School Diploma or GED required. Education Preferred• Associates in Business, Accounting, or Health Administration preferred. Experience• 1-3 years of medical billing, accounts receivable, or revenue cycle experience (workers’ comp or occupational medicine preferred).• Experience with claim submission, payment posting, denials/appeals, and reconciliations.• Proficiency with billing systems, EHR platforms, and Microsoft Excel (reporting, lookups, pivots).• Upholds effective work habits including, but not limited to, regular attendance, teamwork, initiative, dependability, and promptness. Additional Skills/Abilities• Excellent communication and customer service skills with insurance carriers, employers, and patients • Strong organizational and reconciliation skills; detail-oriented with financial accuracy.• Ability to perform all functions of the billing cycle; willingness to cross-train across tasks. • Knowledge of medical billing, coding, workers’ compensation guidelines, and occupational medicine contract billing. • Knowledge of Workers Compensation insurance agency operating procedures and practices.• Knowledge of governmental, legal and regulatory provisions related to collection activities.• Knowledge of the organizations policies and procedures. • Ability to review and correct medical record documentation for billing accuracy (laterality, gender, age, provider notes). • Ability to review and correct medical record documentation for billing accuracy (laterality, gender, age, provider notes). • Ability to maintain confidentiality of sensitive information. Key Responsibilities • Enter, review, and bill charges for workers’ compensation and occupational medicine services.• Identify and correct billing, coding, and medical record errors to ensure accurate reimbursement.• Identifies delinquent accounts, aging period and payment sources. • Evaluates patient financial status.• Review EOBs, resolve payment discrepancies, and process appeals/denials as needed.• Submit claims with required documentation to insurance carriers by mail or electronically.• Verify authorizations, procedures, and supporting records for occupational medicine services.• Prepare and issue monthly invoices for contracted corporate clients (on-site nurses, medical assistants, CNPs, medical director time).• Post and reconcile payments (insurance, employers, patients) and balance to cash posting logs and A/R worksheets.• Prepare and reconcile month-end reports for Accounts Payable and ensure departmental balances are accurate.• Performs aged accounts receivable actions including contacting responsible parties by statement, telephone and letter for all current accounts as well as old company accounts.• Support departmental efficiency and coverage through cross-training in all billing cycle functions.• Run and analyze financial/claims reports in Excel to support reconciliation and account monitoring.• Participates in educational activities and attends required meetings.• Other duties as assigned. About Us Highlights of our hospitals Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army’s Partnership for Your Success (PaYS) program. Ask us about incentives and additional opportunities. Huntsville Hospital Benefits: We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more! Learn more about Huntsville Hospital Health System: Careers: https://careers.hhsys.org/careers-home Benefits: https://careers.hhsys.org/us/en/benefits Education & Professional Development: https://www.huntsvillehospital.org/education Life In Huntsville: https://www.huntsvillehospital.org/about-huntsville-al

Responsibilities

The CLN Billing Specialist manages the full billing cycle for insurance and company contract accounts, including charge entry, claim submission, and payment posting. They also handle denial management, reconciliation, and month-end reporting.