Job Requirements A Day in the Life of a CRMG Billing Credit Specialist The CRMG Billing Credit Specialist is responsible for reviewing, reconciling, and resolving credit balances and payer-related variances to ensure accurate reimbursement and regulatory compliance. This role focuses on managing overpayments, underpayments, and audit-related activity while supporting revenue cycle operations, enhancing the patient's financial experience, and minimizing organizational risk. Why Work at Cheyenne Regional? Employer Sponsored Medical, Dental, and Vision Plans 403(b) and 457(b) retirement options with 4% employer match Life Insurance Short Term and Long-Term Disability Insurance Employer Sponsored Wellness Program Employee Assistance Program ANCC Magnet Hospital 21 PTO days per year (increases with tenure) Tuition Reimbursement Program Dedicated Loan Forgiveness Advisory Service Here is

What You Will Be Doing:

Reviews and resolves accounts with credit balances to ensure timely and accurate disposition of funds in accordance with organizational policies and payer requirements. Analyzes overpayment and underpayment variances within assigned work queues and initiate appropriate corrective actions. Communicates with patients regarding refunds, or payment transfers to ensure transparency and accurate financial tracking. Partners with leadership to identify audit trends and proactively communicate potential risks to clinics, leadership, the Real Time Eligibility (RTE) Payer Committee, and payer representatives to reduce future refund liability and improve patient experience. Monitors, tracks, and manages payer audit activities, including Additional Documentation Requests (ADR), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor (RAC), and demand letter correspondence. Investigates payer discrepancies and collaborate with Compliance to resolve complex account issues and denials. Ensures thorough and accurate account documentation in compliance with regulatory and organizational standards, meeting departmental productivity and quality benchmarks. Reviews payer policies and reimbursement methodologies to ensure accurate billing practices and payment posting. Prepares and submits claims (electronic and paper) to commercial and government payers, including management of claim edits and work queues. Maintains and expands knowledge of healthcare reimbursement regulations, supporting continuous improvement initiatives within the revenue cycle.

Desired Skills:

Strong analytical and critical thinking skills with the ability to resolve complex financial discrepancies In-depth knowledge of healthcare billing, payer reimbursement, and audit processes Ability to perform with high attention to detail with a focus on accuracy in financial reconciliation Strong communication and collaboration skills across departments and external stakeholders Working knowledge of payer guidelines, contracts, and reimbursement methodologies Knowledge of denial management and appeals processes Ability to manage multiple priorities and meet deadlines in a fast-paced environment Knowledge of Medicare, Medicaid, and commercial payer requirements Here is

What You Need:

High school diploma (or Equivalent Certificate from an accredited program) or higher degree Two (2) or more years of experience in healthcare billing or revenue cycle operations Nice to

Have:

Two (2) or more years of experience with electronical medical records (EMR) and billing systems

About Cheyenne Regional:

Cheyenne Regional Medical Center was founded in 1867 as a tent hospital by the Union Pacific Railroad to treat workers injured while building the transcontinental railroad. Today, we are the largest hospital in the state of Wyoming, employing over 2,000 people, and treating over 350,000+ patients from southeastern Wyoming, western Nebraska, and northern Colorado. We pride ourselves on patient and employee experience by living our core values of I ntegrity, Cari n g, Compa s sion, Res p ect, Serv i ce, Teamwo r k and E xcellence to great health. Our team makes a difference every day by providing trusted healthcare expertise through a passionate and

I.N.S.P.I.R.E.

(ing) approach with a personal touch. By living our values, we aim to achieve our goal of becoming a 5-star rated hospital, providing critical support and resources to our community and the greater region we serve. If you are eager to make a difference and passionate about healthcare, we encourage you to apply today!