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Hoskinson Health and Wellness Clinic

Revenue Cycle Specialist

Hoskinson Health and Wellness Clinic, Gillette, Wyoming, us, 82717

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About Hoskinson Health & Wellness Clinic

Hoskinson Health & Wellness Clinic is a newly founded,

team-based, physician-led, comprehensive health and wellness clinic

located in the beautiful community of

Gillette, Wyoming .

Our organization was created to provide proactive, patient-centered healthcare resources to meet the growing needs of our community.

Company Mission & Philosophy

Hoskinson Health & Wellness Clinic is

owned and operated by physicians

united in their commitment to address long-standing gaps in the healthcare system.

Our mission is to help patients

live better, healthier lives

by delivering

comprehensive, coordinated care

through a diverse team of specialists and support staff.

We believe that patients are more than their diagnoses and deserve access to education, resources, and time with their care team.

To ensure this mission is met, we: Integrate advanced, effective technology. Encourage collaboration among providers and support staff. Maintain lower patient volumes to allow for more meaningful, personalized care. Job Summary

The

Revenue Cycle Specialist

is responsible for managing key aspects of the

billing, claims, and collections process

to ensure accurate and timely reimbursement for clinical services.

This role plays a vital part in maintaining the clinic's financial health by

verifying insurance, reviewing coding and charges, submitting claims, following up on denials , and

assisting patients with billing inquiries . The Specialist ensures compliance with payer requirements and supports smooth coordination between

patient registration, clinical staff, and the billing department.

Supervises

This position does

not

typically supervise others. May serve as a

team lead or mentor

to new billing or patient financial services staff in larger clinic settings. Key Responsibilities

Billing & Claims Management

Prepare and submit clean claims to insurance payers accurately and on time. Review charges for completeness and accuracy, verifying

CPT/ICD-10 coding and modifiers. Post payments, adjustments, and denials to patient accounts. Monitor claim status and promptly resolve rejections or unpaid claims. Rebill and appeal claims as necessary to ensure full reimbursement. Maintain up-to-date knowledge of payer submission guidelines and policies. Insurance Verification & Authorization

Verify

patient insurance eligibility and benefits

prior to service. Obtain required

authorizations and referrals. Communicate with patients and clinical staff to resolve coverage issues or pre-authorization needs. Accounts Receivable & Collections

Track and manage

accounts receivable (AR)

by payer and patient category. Contact payers regarding claim status, missing data, or delayed payments. Analyze denials to identify trends and recommend corrective actions. Manage patient balances and assist with

payment plans or financial assistance programs. Compliance & Documentation

Maintain compliance with

HIPAA, payer requirements, and internal billing policies. Ensure documentation supports charges and audit readiness. Participate in internal and external audits as needed. Stay informed on

regulatory and reimbursement updates. Communication & Coordination

Collaborate with front office, clinical, and finance teams to resolve billing discrepancies. Provide feedback to coders and clinical staff regarding missing or incomplete documentation. Communicate clearly and professionally with patients about billing questions, balances, or insurance concerns. Education, Certifications & Licensure

Required:

High school diploma or equivalent. Preferred:

Associate degree in Health Administration, Business, Accounting, or related field. Professional certifications such as: CPB

- Certified Professional Biller (AAPC) CRCR

- Certified Revenue Cycle Representative (HFMA) CCA / CPC

- Certified Coding Associate or Certified Professional Coder (if handling coding tasks)

Experience

Required:

2-4 years of experience in

healthcare billing, claims, or revenue cycle operations. Solid understanding of

insurance claims processes, CPT/ICD-10/HCPCS codes, and payer requirements. Proficiency in

EHR and billing systems. Preferred:

Experience in a

clinic or ambulatory care environment. Familiarity with multiple payer types (commercial, Medicare, Medicaid, workers' comp). Experience with clearinghouses or revenue cycle management software. Required Skills & Abilities

Strong attention to detail and data accuracy. Excellent understanding of reimbursement processes and payer rules. Effective

problem-solving and follow-up

abilities. Strong written and verbal communication with patients, payers, and team members. Proficient in

Microsoft Office (Excel, Outlook)

and billing software systems. Ability to

multitask and prioritize

in a fast-paced environment. High level of integrity and commitment to maintaining

patient confidentiality. Why Join Hoskinson Health & Wellness

Work in a

supportive, team-based environment

that values collaboration and excellence. Enjoy

100% employer-paid health insurance

(medical, dental, vision, STD, LTD, and life). Access

supplemental insurance

options (hospital, accident, cancer, voluntary life). Benefit from a

competitive company retirement match

- with

no waiting period. Receive

generous paid time off (PTO)

to support work-life balance. Grow your career with

professional development and continuing education assistance Benefits

Health Insurance:

100% employer-paid premiums for medical, dental, vision, short-term disability, long-term disability, and life insurance. Retirement Benefits:

Competitive company match with no waiting period. Paid Time Off (PTO):

Generous PTO policy. Professional Development:

Support for continuing or additional education with HR approval.

Equal Opportunity Statement

Hoskinson Health & Wellness Clinic is an

equal opportunity employer . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.

The Clinic is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment and all services, programs, and activities. To request accommodation during the application or interview process, contact

Human Resources at (307) 387-9850 .