Medical Billing Specialist

Medical Billing Specialist

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 communities. In your role, you'll 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 you'll 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 misbilling's.
• 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:

• 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 SkillsA. Basic computer skillsB. Knowledge of CPT and HCPC codes

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

Community Medical Center is an Equal Opportunity Employer. Community 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.