Revenue Cycle Denial Specialist

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🌵 Arizona, Florida, +8 more states – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

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Bozeman Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1911

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🔬 Science

Healthcare Insurance • Pharmaceuticals • Science

Bozeman Health is a healthcare organization providing a wide range of medical services across multiple locations in Montana. Their facilities include the Bozeman Health Deaconess Regional Medical Center, Belgrade Clinic, and Big Sky Medical Center, offering services such as primary care, women's health, pediatrics, and cancer care. Bozeman Health is dedicated to community benefit, quality healthcare, and enhanced patient experiences through various healthcare programs and services.

📋 Description

• Review, analyze, and resolve post-billed denials and rejections for hospital and professional claims • Prepare and manage appeals within required timelines • Collaborate across departments to reduce avoidable denials • Provide reporting and education to support system-wide revenue cycle performance • Support denial-related committees and task forces through reporting, analysis, and coordination • Manage audit requests, ensuring timely submission and tracking • Maintain knowledge of payer rules, state and federal regulations, and reimbursement requirements.

🎯 Requirements

• Associate's degree or Certification in Healthcare Business, or related field, or equivalent combination of education and experience may be considered • Three (3) years of healthcare experience in a revenue cycle position • Three (3) years of experience working with International Classification of Diseases, Tenth Revision (ICD-10) diagnosis and procedure coding, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) • Proficiency with Microsoft Office applications, including advanced Excel, Word, and PowerPoint skills • Preferred Healthcare Financial Management Association Revendure Cycle Representative (HFMA CRCR) or Certified Professional Coder (CPC) certifications • Five (5) years of experience in a hospital revenue cycle billing position • Experience with Epic or other electronic medical record (EMR) applications • Experience using payer portals, electronic work queues, and denial/appeals tracking tools.

🏖️ Benefits

• Regular and sustained attendance required • On-call work may be required • Education completion as assigned per DNV requirements, Bozeman Health policy, and registry requirements.