Medical Billing & Revenue Cycle Specialist

Mainline Health Systems, Inc.; Sheridan (WY); Remote; USD 40,000 - 60,000; Full time

Job summary

Mainline Health Systems, Inc. is seeking a Billing Specialist to manage billing and accounts receivable, submit claims accurately, and help maximize collections in a Patient Centered Medical Home environment.

Reports to the Director of Revenue Cycle and will ensure compliance with insurance, state, and federal rules. The role requires attention to coding accuracy, ongoing education, and collaboration with care teams to support efficient workflows.

Qualifications

• Bachelor’s degree preferred.
• High School Diploma required.
• Medical Coding Certification preferred.
• Dental Coding Certification preferred.
• Two years of experience in medical billing/healthcare setting preferred.
• Knowledge of total quality management concepts and QC techniques.
• Experience with HRSA primary care programs requirements.
• Any equivalent combination of experience and education.

Responsibilities

• Submit all claims timely and accurately.
• Collect payments promptly and maintain good AR.
• Bill patients and maintain acceptable collection ratios.
• Code claims properly when needed.
• Apply for Medicaid, Medicare, and commercial insurance numbers as needed.
• Manage patient payment plans.
• Travel for business as required.
• Participate in quality improvement practices.
• Support care team and workflows of the Patient Centered Medical Home model.
• Attend continuing education related to this position.
• Complete training as directed by Revenue Cycle leadership.

Skills

Medical billing

Quality management

HRSA programs

Reporting/metrics

Team collaboration

Education

Bachelor's degree

High School Diploma

Equivalent experience

Tools

Medical Coding Certification

Dental Coding Certification

Job description

Mainline Health Systems, Inc. is seeking a Billing Specialist to manage billing and accounts receivable, submit claims accurately, and help maximize collections in a Patient Centered Medical Home environment.

Reports to the Director of Revenue Cycle and will ensure compliance with insurance, state, and federal rules. The role requires attention to coding accuracy, ongoing education, and collaboration with care teams to support efficient workflows.