Onsite Patient Billing & Insurance Specialist

Sheridan Memorial Hospital; Sheridan (WY); On-site; USD 38,000 - 46,000; Full time

Job summary

Sheridan Memorial Hospital is seeking a Billing Clerk responsible for compiling itemized hospital bills, verifying patient insurance coverage, and calculating insurance benefits. You will collaborate with the Admitting Office, Medical Records, and insurance companies while participating in Performance Improvement activities.

The role requires a high school diploma (GED acceptable) and familiarity with medical terminology; billing or accounting experience is preferred.

Qualifications

• High school diploma or GED is required.
• Medical terminology is preferred.
• Billing or accounting experience is preferred.

Responsibilities

• Verifies accurate encounter information and ensures timely claim submission using Cerner RevenueCycle and related systems.
• Monitors claims in Emdeon and corrects edits to avoid delays in reimbursement.
• Contacts patients when additional information is needed to file claims or when payors request details.
• Maintains current knowledge of Medicare/Medicaid, Blue Cross/Blue Shield, and other third-party payors.
• Processes Explanation of Benefits and responds to correspondence in a timely manner.
• Handles overpayments and processes refunds as required.
• Keeps team informed of payment delays and follows up with payors accordingly.
• Ensures documentation meets standards and confidentiality requirements.

Skills

English communication

Work under pressure

Organizational skills

Education

High school diploma or GED

Medical terminology, preferred

Billing or accounting, preferred

Tools

Cerner RevenueCycle

Emdeon

Billing software

Job description

Sheridan Memorial Hospital is seeking a Billing Clerk responsible for compiling itemized hospital bills, verifying patient insurance coverage, and calculating insurance benefits. You will collaborate with the Admitting Office, Medical Records, and insurance companies while participating in Performance Improvement activities.

The role requires a high school diploma (GED acceptable) and familiarity with medical terminology; billing or accounting experience is preferred.