Job Description
Job Description
We are looking for a skilled Medical Billing Specialist to join our team on a contract basis in Afton, Wyoming. This role involves handling intricate billing processes, managing accounts receivable, and ensuring compliance with healthcare regulations. The ideal candidate will bring expertise in medical billing systems and a dedication to accuracy and efficiency.
Responsibilities:
• Prepare and submit detailed claims to insurance providers in a timely manner.
• Review patient accounts to ensure accuracy and completeness of billing information.
• Follow up on denied claims, resolving issues, and providing additional documentation as needed.
• Maintain accounts receivable aging reports and actively pursue outstanding balances.
• Process insurance payments, allocating funds to the correct accounts.
• Ensure compliance with medical billing standards, healthcare regulations, and organizational policies.
• Analyze claim trends and identify opportunities to improve billing processes.
• Perform billing functions specific to critical access hospitals, provider-based billing, and Medicare Direct Data Entry.
• Handle denials management and administrative appeals to ensure proper reimbursement.
• Collaborate with team members to streamline workflows and enhance overall efficiency.• High school diploma or equivalent; further education in finance, accounting, or healthcare administration is preferred.
• Minimum of three years of experience in medical billing, accounts receivable, or a related field.
• Strong knowledge of healthcare reimbursement policies, timely filing requirements, and billing regulations.
• Proficiency in Microsoft Office tools, particularly Excel and Word, as well as billing software such as Epic.
• Familiarity with critical access hospital billing, provider-based billing, and Medicare claim management.
• Excellent attention to detail and accuracy in data entry and billing processes.
• Strong communication skills, both written and verbal, with the ability to address complex billing issues.
• Ability to work independently and prioritize tasks effectively in a remote setting during Mountain Time business hours.
Responsibilities:
• Prepare and submit detailed claims to insurance providers in a timely manner.
• Review patient accounts to ensure accuracy and completeness of billing information.
• Follow up on denied claims, resolving issues, and providing additional documentation as needed.
• Maintain accounts receivable aging reports and actively pursue outstanding balances.
• Process insurance payments, allocating funds to the correct accounts.
• Ensure compliance with medical billing standards, healthcare regulations, and organizational policies.
• Analyze claim trends and identify opportunities to improve billing processes.
• Perform billing functions specific to critical access hospitals, provider-based billing, and Medicare Direct Data Entry.
• Handle denials management and administrative appeals to ensure proper reimbursement.
• Collaborate with team members to streamline workflows and enhance overall efficiency.• High school diploma or equivalent; further education in finance, accounting, or healthcare administration is preferred.
• Minimum of three years of experience in medical billing, accounts receivable, or a related field.
• Strong knowledge of healthcare reimbursement policies, timely filing requirements, and billing regulations.
• Proficiency in Microsoft Office tools, particularly Excel and Word, as well as billing software such as Epic.
• Familiarity with critical access hospital billing, provider-based billing, and Medicare claim management.
• Excellent attention to detail and accuracy in data entry and billing processes.
• Strong communication skills, both written and verbal, with the ability to address complex billing issues.
• Ability to work independently and prioritize tasks effectively in a remote setting during Mountain Time business hours.