Cheyenne Regional Medical Center · 2 weeks ago
CRMG Billing Services Lead
Cheyenne, Wyoming, United States
Full-time
Onsite
Mid, Senior Level
1+ years expCheyenne Regional Medical Center is the largest hospital in Wyoming, dedicated to providing quality healthcare and an excellent employee experience. They are seeking a CRMG Billing Services Lead to oversee billing and collection activities, ensuring customer service excellence and timely account resolution.
Health CareHospitalMedical
Responsibilities
Assembles issues and makes recommendations to management, assists with recurring training, prioritizes tasks, and meets with staff to identify issues. Assists with verifying process and procedures
Provides exemplary customer service while working with patients, and/or guarantors, and insurance companies concerning areas of expertise
Evaluates payor remits and denials for accuracy according to individual contracts and pursue reimbursement on accounts with general understanding of CPT, HCPCS, ICD-10 and revenue codes; composes and submits appeals to third party payers, appealing to the highest level to resolve account denial for proper reimbursement
Receives and researches patient, payor, attorney, and third-party inquiries received through incoming calls and correspondence in a timely manner by reviewing all information available including payor remits, contracts, documentation, policies and procedures, insurance laws and formulate an informative response and direct the account appropriately
Research and compile reports as required for audits and communicates to leadership and specified areas
Reviews teams assigned work queues (WQs) to ensure items are worked promptly and according to standard work
Assists in Follow Up and Call Center Research WQs as needed based on staffing
Leads a small group or team of employees as appropriate in role specific areas
Promotes and participates in LEAN practices/strategies and adheres to Cheyenne Regional Medical Center TrueCare Standards
Qualification
Required
Associate's degree or higher and one (1) or more years of healthcare billing experience
High School diploma (or equivalent from an accredited program) and two (2) or more years of healthcare billing experience
Current Registered Health Information Technician (RHIT) certification and one (1) or more years of healthcare billing experience
Current Medical Billing and Coding certification and one (1) or more years of healthcare billing experience
Completion of a medical billing and coding certificate program and one (1) or more years of healthcare billing experience
Knowledge of federal and state billing and coding regulations
Knowledge of current billing compliance regulations and issues
Knowledge of payor contracts and billing requirements
Critical thinking and analysis skills
Knowledge of the Revenue Cycle
Ability to analyze payor denials and determine where there is a need for performance improvement
Effective verbal, written, and interpersonal communication skills
Knowledge of various computer programs, including billing system, document imaging system, and Microsoft office products, especially Excel and Word
Ability to interact respectfully with diverse cultural and socio-economic populations
Preferred
Associate's degree or higher
Patient registration in an electronic health record system
Experience with Epic
Registered Health Information Technician (RHIT) or Certified Medical Billing and Coding through AAPC
Benefits
403(b) with 4% employer match
21 PTO days per year (increases with tenure)
Education Assistance Program
Employee Sponsored Wellness Program
Employee Assistance Program
Loan Forgiveness Eligible
Company
Cheyenne Regional Medical Center
Cheyenne Regional Medical Center provides patient and health care to improve the health and quality of life of the community.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
T
Timothy Thornell
President & CEO
Recent News
2024-02-10
The Cheyenne Post
2024-02-10
Wyoming Tribune Eagle
2023-12-25
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