Medical Billing Specialist

Description

Job Type: Full Time Monday - Friday

* This is NOT a remote position-MUST RESIDE IN MT *

Your experience matters

At Community Medical Center we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

Position Summary:

This position title is Revenue Cycle Analyst and the basic functions are a Medical Billing Specialist. Duties include but are not limited to uploading bank files balancing to a shared (hospital) financial spreadsheet calling insurances and working assigned claims worklists. A Medical Billing Specialist reconciles and posts all payments received identifies discrepancies and analyzes issues to ensure payments are posted timely. Manages Athena claims worklists as assigned. Reports to: Patient Financial Services Director

How youll contribute:

• Responsible for reviewing and maintaining charge description master (CDM) and/other pertinent regulations and policies ensuring all data elements are accurate and comply with all payor requirements.
• Excel experience along with medical billing is preferred and a coding background is a plus.
• Analyzes financial and utilization data to provide decision-making information relating to specific revenue cycle metrics and reimbursement.
• Reviews and interprets various regulatory billing and coding updates to remain compliant and accurate to minimize misbillings.
• Resolves issues that arise from information submitted and revenue cycle issues.
• Provides validation reviews audits documentation and training for the area of knowledge sharing information with Finance Medical Records and other revenue producing areas or departments.
• Works closely with the lab to ensure all necessary late charges are applied to the accurate account.
• Perform other duties as assigned.

What we offer

Fundamental to providing great care is supporting and rewarding our addition to your base compensation this position also offers:

• Comprehensive medical dental and vision plans plus flexible-spending and health- savings accounts

• Competitive paid time off and extended illness bank package for full-time employees

• Income-protection programs such as life accident critical-injury insurance short- and long-term disability and identity theft coverage

• Tuition reimbursement loan assistance and 401(k) matching

• Employee assistance program including mental physical and financial wellness

• Professional development and growth opportunities

Qualifications and requirements:

• High School graduate or equivalent
• Minimum Work Experience At least 5 years of in Finance or Billing required
• Required Skills
  A. Basic computer skills
  B. Knowledge of CPT and HCPC codes
  

About Us

Community Medical Center is part of Lifepoint Health a diversified healthcare delivery network committed to making communities healthier with acute care rehabilitation and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters

EEOC Statement

Community Medical Center is an Equal Opportunity Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Required Experience:

IC