About this opportunity
Bradford at Warrior lists this Billing Specialist opportunity in birmingham, Alabama. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Billing Specialist
Bradford Health Services provides addiction treatment programs, resources, and community for every aspect of recovery. Through our premier drug and alcohol rehab facilities across the Southeast, we provide affordable, evidence-based addiction treatment with proven outcomes at every level of care. We're guided by unity and dedicated to meeting and treating every patient right where they are. Bradford is more than a healthcare network; we are recovery communities for every stage of the journey.
We are seeking a Billing Specialist to add to our dynamic team. The Billing Specialist is responsible for ensuring accurate and timely submission of claims to third-party payers. This position plays a critical role in the revenue cycle by reviewing patient accounts, resolving charge errors and billing warnings, validating claim information, and ensuring claims meet payer and regulatory requirements prior to submission. The ideal candidate will possess strong healthcare billing experience, exceptional attention to detail, and the ability to independently research and resolve billing issues. The Billing Specialist will work collaboratively with clinical, operational, utilization review, and revenue cycle teams to identify and correct issues that may delay or prevent successful claim submission.
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 escalate 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
Qualifications
High school diploma or equivalent
Minimum of 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
Preferred Qualifications
Associate degree in healthcare administration, business, finance, or related field
Experience billing behavioral health, substance use disorder, or other facility-based healthcare services
Experience with both institutional and professional claim billing
Knowledge of UB-04 and CMS-1500 claim requirements
Experience with commercial insurance, Medicare, Medicaid, TRICARE, and/or VA billing
Familiarity with revenue codes, HCPCS/CPT coding, bill types, modifiers, and payer-specific billing requirements
Experience working within a centralized Revenue Cycle environment
At Bradford Health Services, we are committed to providing exceptional care to our patients while fostering a supportive and rewarding workplace for our employees. We believe that taking care of our team is just as important as taking care of our patients. We offer a comprehensive benefits package designed to support their well-being.
Medical Coverage – Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits.
Expanded Coverage – Options for domestic partners and a wider network of in-network providers.
Mental Health Support – Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching.
Voluntary Coverages – Pet insurance, home and auto insurance, family legal services, and more.
Student Loan Repayment – Available for nurses and therapists.
Retirement Benefits – 401(k) plan through Voya to help employees plan for the future.
Generous PTO – A robust paid time off policy to support work-life balance.
Voluntary Benefits for Part-Time Employees – Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week.
Worksite address
birmingham, AL, 35275, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.