Clinical Nurse Specialist jobs in Wyoming

An exciting opportunity is now available for an experienced Insurance Billing Specialist at a top critical access facility in Southwestern Wyoming.

This facility is one of Wyoming's most respected & preferred hospitals. This hospital offers a comprehensive continuum of inpatient and outpatient health care services, expertise and specialties, including orthopedics and spine care, cancer care, cardiac and vascular care, stroke, obstetrics & maternity care, pediatrics, emergency care as well as diagnostic imaging, screening, testing and urgent care.

Under the direct supervision of the Revenue Cycle Manager, this position is responsible for the hospitals billing compliance program and monitoring billing compliance activities to ensure compliance with federal and state programs. Additionally, this position will perform weekly audits of the billers and collaborate with the Billing Manager to identify risks and to present findings to improve processes and assisting the billing manager with proper protocols when identifying areas of concern or upcoming CMS changes.

Other responsibilities include:

• Monitor, analyze, and report the effectiveness of billing compliance
• Review all findings with the Billing Manager and coordinate training of staff on changes or compliance issues identified
• Work collaboratively with team Members to identify and recommend strategies for process improvement
• Document education provided to Team Members, and maintain records of training sessions
• Research changes in national and local coding and billing coverage decisions
• Provide feedback in a helpful manner to appropriate parties and provides guidance to improve billing procedures
• Applications utilized include Excel, Word, Star, Cerner, HPF, Experian products through Claim Source, Contract Manager, On-Target-Revenue/RAC Manager, and others as necessary.
• Performs other duties as assigned.