Patient Billing & Insurance Specialist (Onsite)

Sheridan Memorial Hospital; Sheridan (WY); On-site; USD 42,000 - 60,000; Full time

Job summary

Sheridan Memorial Hospital is seeking a Billing Specialist to compile itemized hospital bills, verify patient insurance coverage, and compute insurance benefits. You will collaborate with Admitting Office, Medical Records, and insurers, and participate in Performance Improvement activities.

Work will involve ensuring timely claim submission, handling denials/edits in Cerner RevenueCycle, and maintaining accurate patient billing information.

Qualifications

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

Responsibilities

• Verifies encounter information and corrects edits to ensure timely claim submission.
• Monitors claims and handles adjustments in Emdeon as needed.
• Contacts patients for additional information to file insurance claims.
• Keeps up-to-date with changes in major insurers and government programs.
• Processes explanations of benefits and overpayment refunds promptly.
• Maintains professionalism and confidentiality when interacting with patients and insurance providers.

Skills

Verbal & written communication

Office software

Ability to work under pressure

Multiline phone handling

Education

High School Diploma

Medical terminology, preferred

Tools

Cerner RevenueCycle

Emdeon

Job description

Sheridan Memorial Hospital is seeking a Billing Specialist to compile itemized hospital bills, verify patient insurance coverage, and compute insurance benefits. You will collaborate with Admitting Office, Medical Records, and insurers, and participate in Performance Improvement activities.

Work will involve ensuring timely claim submission, handling denials/edits in Cerner RevenueCycle, and maintaining accurate patient billing information.