CRMG Billing Services Lead

Cheyenne Regional Medical Center
US - Wyoming - Cheyenne
April 28, 2024

A Day in the Life of a Billing Services Lead:

This position leads a team or group to facilitate all billing and collection activities. This position has a general understanding of all functions in the Billing Services departments to provide outstanding customer service and facilitate timely action and account completion for billing questions for any customer.
Why Work at Cheyenne Regional?
• ANCC Magnet Hospital
• 403(b) with 4% employer match
• 21 PTO days per year (increases with tenure)
• Education Assistance Program
• Employer Sponsored Wellness Program
• Employee Assistance Program
• Loan Forgiveness Eligible
Here Is What You Will Be Doing:

• 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.
ROLE SPECIFIC RESPONSIBILITIES

FOLLOW-UP:
Reviews department work queues to ensure accounts are worked timely based on dollar amount and timely filing requirements. Works WQs as assigned by Management based on staffing and volume. Physician Billing (PB) works retro WQs. Hospital Billing (HB) submits electronic and hard copy claims in a timely manner and works Level 1 Adjustment and Level 1 Refund request WQs.

Desired Skills:

• 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
Here Is What You Will Need:

• Associate's degree or higher and one (1) or more years of healthcare billing experience
• OR, High School diploma (or equivalent from an accredited program) and two (2) or more years of healthcare billing experience
• OR, Registered Health Information Technician (RHIT) or Certified Medical Billing and Coding through AAPC and one (1) or more years of healthcare billing experience
Nice To Have:

• 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
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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Read the full job description and apply online on the recuiter's web-site

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