Billing Specialist

About Hoskinson Health & Wellness

Hoskinson Health & Wellness Clinic is a patient-centered healthcare clinic proudly serving Gillette and the surrounding community. Our mission is simple: to provide high-quality, compassionate care that helps our patients feel heard, supported, and empowered in their health journey.

We believe healthcare works best when it’s personal. Our team takes the time to build real relationships with patients, focusing not just on symptoms, but on the whole person. From preventive care to ongoing treatment, we strive to create a welcoming environment where patients feel comfortable and confident in the care they receive.

Just as we care deeply about our patients, we care about the people who make our clinic what it is—our team. At Hoskinson Health & Wellness, we value collaboration, integrity, and continuous learning. We are committed to creating a supportive workplace where team members are respected, encouraged to grow, and given the tools they need to succeed.

If you’re passionate about patient care, value teamwork, and want to make a meaningful impact in a close-knit community, Hoskinson Health & Wellness Clinic is a place where your work truly matters.

Why Work at Hoskinson Health & Wellness?

At Hoskinson Health & Wellness Clinic, we believe taking care of our team is just as important as taking care of our patients. That’s why we’re proud to offer an award-winning benefits package designed to support your health, your family, and your future.

Our benefits go beyond the basics. We offer competitive compensation, comprehensive health coverage, paid time off, and additional perks that promote work-life balance and overall well-being. We understand that when our team members feel supported, valued, and secure, they can bring their best selves to work every day.

Beyond benefits, you’ll find a workplace culture built on respect, collaboration, and service excellence. We foster an environment where your contributions matter, your voice is heard, and your professional growth is encouraged.

When you join Hoskinson Health & Wellness, you’re not just accepting a job—you’re becoming part of a team that invests in you and recognizes the important role you play in caring for our community.

Job Summary

The Billing Specialist is responsible for auditing, monitoring, and optimizing billing processes within assigned clinical departments to ensure all services rendered are properly authorized, coded, billed, and reimbursed. This position works closely with providers, clinical staff, and the revenue cycle department to identify missed charges, resolve billing discrepancies, ensure compliance with payer requirements, and maximize reimbursement.

The specialist serves as the primary revenue integrity contact for assigned departments such as Radiology, Laboratory, Infusion Services, Audiology, and procedural specialties (e.g., Neurology, Podiatry). The role focuses on identifying revenue leakage, improving billing accuracy, supporting prior authorizations, and improving collections performance.

Supervises

None

Supervisory Responsibilities

This position does not have direct supervisory responsibilities but may provide guidance and training to clinical and administrative staff regarding billing processes, documentation requirements, and revenue optimization practices.

Duties / Responsibilities

• Perform regular billing audits for assigned departments to ensure all services rendered are billed accurately and completely.
  
  

• Identify missed charges, underbilling, or coding errors and coordinate corrections with billing and coding teams.
  
  

• Review provider documentation to ensure billable services are captured appropriately.
  
  

• Monitor high-value service lines including but not limited to:
  
  

  • Radiology
    
    

  • Laboratory
    
    

  • Infusion services
    
    

  • Audiology
    
    

  • Procedural specialties (Neurology, Podiatry, etc.)
    
    

• Track and resolve revenue leakage, including missed interpretations, procedures, or ancillary services.
  
  

• Ensure prior authorizations are obtained and documented for applicable services.
  
  

• Collaborate with providers and clinical staff to ensure proper documentation supports billing requirements.
  
  

• Assist in denial management and appeals related to assigned departments.
  
  

• Monitor reimbursement trends and payer requirements to identify opportunities for improved revenue capture.
  
  

• Work with the revenue cycle leadership to develop department-specific revenue improvement strategies.
  
  

• Provide education and feedback to clinical departments regarding billing compliance and documentation standards.
  
  

• Support revenue cycle initiatives focused on maximizing reimbursement and improving collections.
  
  

• Maintain compliance with Medicare, Medicaid, commercial payer regulations, and HIPAA.
  
  

Education / Certifications / Licenses

Required:

• Associate degree in Healthcare Administration, Business Administration, Health Information Management, or related field.
  
  

Preferred:

• Bachelor’s degree in Healthcare Administration, Business, or related field.
  
  

• Certified Professional Coder (CPC) – AAPC
  
  

• Certified Coding Specialist (CCS)
  
  

• Certified Revenue Cycle Representative (CRCR)
  
  

Experience

Required:

• Minimum 3 years experience in medical billing, coding, or revenue cycle management.
  
  

• Experience working with prior authorizations, insurance claims, and reimbursement processes.
  
  

Preferred:

• Experience auditing hospital or multi-specialty clinic billing.
  
  

• Experience with procedure-based specialties (radiology, neurology, podiatry, infusion services).
  
  

• Experience identifying and resolving revenue leakage or missed charges.
  
  

Required Skills / Abilities

• Strong knowledge of medical billing, CPT, HCPCS, and ICD-10 coding concepts
  
  

• Understanding of payer reimbursement methodologies
  
  

• Ability to conduct billing audits and identify revenue opportunities
  
  

• Strong analytical and problem-solving skills
  
  

• Knowledge of prior authorization requirements
  
  

• Ability to communicate effectively with providers and clinical staff
  
  

• Experience working with EHR and billing systems
  
  

• Detail-oriented with strong organizational skills
  
  

• Ability to work independently and manage multiple departments simultaneously
  
  

• Knowledge of healthcare compliance and regulatory standards

Equal Opportunity Employer

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. Reasonable accommodations are available upon request during the application or interview process.