CRMG Billing Specialist

Cheyenne Regional Medical CenterCheyenne, Wyoming

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Overview

Schedule

Full-time

Education

Medical Coding (CCA, CCS, CCS-P, CPC)

Career level

Entry-level

Benefits

Paid Vacation

401k Matching/Retirement Savings

Tuition/Education Assistance

Job Description

Day in the Life of a Billing Specialist:

This position is responsible for the timeliness and accuracy of patient account billing and payer reimbursement by ensuring that coordination of benefits is accurate, and that payer reimbursement is appropriate as agreed upon in our organizational payer contracts. The Billing Representative provides outstanding customer service to our customers and payer sources.

Why work at Cheyenne Regional?

403(b) with 4% employer match

ANCC Magnet Hospital

21 PTO days per year (increases with tenure)

Education Assistance Program

Employee Sponsored Wellness Program

Employee Assistance Program

Loan Forgiveness Eligible

Here's what you will be doing:

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.

HOME CARE: Performs intake responsibilities and obtains patient insurance benefits information ensuring pre-certifications, authorization and referral requirements are met prior to the delivery of home care services. Maintains current authorizations and manages work queues. Performs other duties as assigned by Home Care leadership.

Desired skills:

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

Here’s what you will need:

• 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

Nice to have:

• Completion of Billing/Coding Program with Certification

• Healthcare and/or insurance billing experience

• Home care billing experience

About Cheyenne Regional:

Cheyenne Regional Medical Center was founded in 1867 as a tent hospital by the Union Pacific Railroad to treat workers injured while building the transcontinental railroad. Today, we are the largest hospital in the state of Wyoming, employing over 2,000 people, and treating over 350,000+ patients from southeastern Wyoming, western Nebraska, and northern Colorado. We pride ourselves on patient and employee experience by living our core values of Integrity, Caring, Compassion, Respect, Service, Teamwork and Excellence to I.N.S.P.I.R.E. great health.

Our team makes a difference every day by providing trusted healthcare expertise through a passionate and I.N.S.P.I.R.E.(ing) approach with a personal touch. By living our values, we aim to achieve our goal of becoming a 5-star rated hospital, providing critical support and resources to our community and the greater region we serve. If you are eager to make a difference and passionate about healthcare, we encourage you to apply today!

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FAQs About CRMG Billing Specialist Jobs at Cheyenne Regional Medical Center

What is the work location for this position at Cheyenne Regional Medical Center?

This job at Cheyenne Regional Medical Center is located in Cheyenne, Wyoming, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Cheyenne Regional Medical Center?

Employer has not shared pay details for this role.

What employment applies to this position at Cheyenne Regional Medical Center?

Cheyenne Regional Medical Center lists this role as a Full-time position.

What experience level is required for this role at Cheyenne Regional Medical Center?

Cheyenne Regional Medical Center is looking for a candidate with "Entry-level" experience level.

What is the process to apply for this position at Cheyenne Regional Medical Center?

You can apply for this role at Cheyenne Regional Medical Center either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.