Cheyenne Regional Medical Center Foundation · 1 month ago
CRMG Billing Specialist
Cheyenne, WY
Full-time
Onsite
New Grad, Entry Level
0+ years expCheyenne Regional Medical Center Foundation is the largest hospital in Wyoming, dedicated to providing exceptional healthcare services. They are seeking a Billing Specialist responsible for ensuring accurate patient account billing and payer reimbursement while delivering outstanding customer service.
Hospital & Health Care
Responsibilities
Pursues and participates in education for assigned payer to remain current with changes in the healthcare industry via payer websites, payer newsletters, webinar and attendance at assigned payer meetings
Reviews accounts each day in assigned Epic Work Queues and prioritize by dollar amount and timely filing rules to achieve the best possible reimbursement
Completes necessary research to submit claims to appropriate payer based on coordination of benefits and active coverage at time service was rendered
Evaluates payer remittance advice and/or explanation of benefits on denials for accuracy according to individual payer contracts
Maintains knowledge of Medicare, Medicaid, and all commercial insurance programs, including Medicare HMO’s and State Programs to include filing deadlines, billing requirements, and reimbursement methods
Composes and submits appeals to third party payers, appealing to the highest level to resolve account denial for proper reimbursement
Receives and researches patient, payer, attorney, and third party inquiries received through incoming calls and correspondence in a timely manner by reviewing all available information including payer remits, contracts, documentation, policies and procedures, and insurance laws to formulate an informative response and direct the account appropriately
Maintains or exceeds performance metrics according to job assignment focusing on reduction to Accounts Receivable Days and Denial Rates
Provides feedback to management on denial trends and claim edits to assist with process improvement and quality assurance within our billing software
Provides exemplary customer service and demonstrate positive communication skills in a courteous, accurate and honest manner
Qualification
Required
High school diploma (or Equivalent Certificate from an accredited program) or higher degree
Six (6) months of or more of customer service and/or monetary transaction experience
Knowledge and understanding of Federal and State billing and coding regulations and compliance
Knowledge and understanding of HIPAA
Ability to multitask with a high attention to detail
Must have the ability to type a minimum of 40 wpm
Ability to handle cash
Knowledge of medical terminology and coding
Preferred
Completion of Billing/Coding Program with Certification
Healthcare and/or insurance billing experience
Home care billing experience
Benefits
403(b) with 4% employer match
Education Assistance Program
Employee Sponsored Wellness Program
Employee Assistance Program
Loan Forgiveness Eligible
Company
Cheyenne Regional Medical Center Foundation
The CRMC Foundation is a 501(c)(3) nonprofit organization in Cheyenne, Wyoming that is organized exclusively to advance and assist in the development, growth, and operation of Cheyenne Regional Medical Center.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase