Revenue Cycle Billing Specialist — Hospital & Professional Claims

Day in the Role

In Mobile, AL, 36608, your day begins by validating the previous day's submissions for completeness and accuracy. You confirm patient demographics, verify coding alignment, and ready each claim for timely transmission. As the morning unfolds, you submit clean claims to commercial insurers and government payers, then pivot to tackling unresolved items—following up on unpaid claims, reconciling denials, and correcting discrepancies. Throughout the day, you collaborate with clinicians and patients to clarify billing questions and keep documentation tight. Before you wrap, you review billing reports to spot trends and recommend process improvements.

What You'll Do

• Audit and process patient billing details to ensure precision and completeness.
• Prepare and transmit claims to insurance carriers and government programs.
• Investigate and resolve unpaid or rejected claims and related variances.
• Serve as a resource to providers and patients for billing-related inquiries.
• Stay current on coding standards and billing regulations.
• Contribute to building and refining billing policies and procedures.
• Produce and analyze reports to highlight patterns and improvement opportunities.

What You Bring

• Experience billing through a clearinghouse is required.
• High school diploma or equivalent; associate degree in healthcare administration or a related field preferred.
• Demonstrated background in both hospital and physician (professional) billing with strong medical coding knowledge.
• Familiarity with insurance claim workflows and reimbursement methodologies.
• Meticulous attention to detail with strong analytical capabilities.
• Clear, professional communication skills—written and verbal.
• Proficiency with billing systems and Microsoft Office Suite.
• Comfort working independently and collaboratively in a fast-paced setting.

Why This Role

Your accuracy and follow-through directly influence financial performance and patient experience. If you love marrying numbers with meaningful impact, this is where your precision counts.