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Our Mission: Quality compassionate care for all.
Our Vision: Reimagine health care through connection service and innovation.
Our Core Values: Be Kind Trust and Be Trusted Work Together Strive for Excellence.
Location: Logan Health Kalispell Montana
Shift: Variable Shift Full-Time 40 Hours
At Logan Health were more than just a healthcare providerwere a community. Nestled in the heart of Montana we are committed to delivering exceptional care to our patients while fostering a supportive and collaborative work environment for our team. As a member of Logan Health youll be part of a dynamic team that values compassion innovation and excellence. We offer opportunities for growth comprehensive benefits and a chance to make a meaningful impact in the lives of those we serve. Come join us and experience the Logan Health difference where your passion meets purpose in a place youll be proud to call home.
Join Logan Health as a Lead Patient Accounting Specialist where youll play a key role supporting patient medical billing and collection activities while serving as a resource and mentor to your team. In this role youll assist with training process support and serve as a first point of escalation for questions or concerns related to assigned patient accounting functions. If youre a problem-solver with a strong background in medical billing and revenue cycle operations wed love to hear from you.
What Youll Do:
Serve as a resource and first-line escalation for team members in assigned patient accounting functions such as billing payment posting collections claims research customer service and accounts receivable.
Act as a liaison between patients providers payers vendors and internal departments.
Identify and report payer issues and payment discrepancies.
Assist in training and onboarding new and existing team members to support productivity quality and compliance standards.
Support leadership with special projects communication and continuous improvement efforts.
Analyze account data to support timely claim resolution and payment posting; escalate unresolved issues as appropriate.
Post payments and adjustments according to payer guidelines fee schedules and internal policies.
Accurately document account activity and communication in the billing system.
Review and maintain account information to ensure accuracy within billing systems.
Interpret explanation of benefits (EOBs) and resolve discrepancies.
Provide excellent customer service to internal and external stakeholders.
Support scheduling training coordination compliance efforts and hiring processes as needed.
Perform additional duties as assigned by leadership.
Basic Qualifications:
One (1) of the following:
2 years of experience with claims billing and/or collections.
3 years of experience in a business office setting.
Associates degree in a related field.
Or an equivalent combination of education and experience.
Previous experience in a hospital or medical office setting.
Demonstrated knowledge of claim resolution processes and payer regulations.
Strong problem-solving analytical and investigational skills.
Ability to effectively train mentor and share knowledge with others.
Ability to maintain confidentiality and comply with HIPAA regulations.
Excellent organizational skills attention to detail and ability to prioritize tasks.
Strong verbal written and interpersonal communication skills.
Proficient with Microsoft Office Suite and ability to learn new software as needed.
Preferred Qualifications:
Proficiency with Microsoft Excel and/or revenue cycle software.
Experience working with Meditech or other healthcare billing systems.
Previous experience coordinating work schedules or leading small teams.
Demonstrated ability to manage multiple priorities in a fast-paced environment.
Experience participating in compliance quality assurance or process improvement projects.
Why Logan Health
Be part of a mission-driven team that makes a meaningful impact in our community.
Competitive compensation and comprehensive benefits.
Opportunity for professional growth and career development.
Enjoy work-life balance in the scenic Flathead Valley of Montana minutes from Glacier National Park Whitefish Mountain Resort and Flathead Lake.
Apply Today!
If youre ready to grow your career in healthcare revenue cycle and contribute to Logan Healths continued success we encourage you to apply.
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Qualifications:
Minimum of one (1) of the following requirements:
Minimum of two (2) years working experience with claims billing and/or collections;
Minimum of three (3) years in a business office setting;
Associates degree in a related field; or
An equivalent combination of education and experience.
Demonstrated high level problem solving analytical and/or investigational skills required.
Possess training skills to successfully share working knowledge and experience with others required.
Previous hospital or medical office setting required. Possess working knowledge of claim resolution required. Possess knowledge and understanding of payer regulations required.
Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed. Proficiency in Excel and /or revenue cycle software preferred.
Possess ability to maintain confidentiality and understand HIPAA guidelines and other applicable federal laws.
Excellent organizational skills detail-oriented a self-starter possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
Commitment to working in a team environment and maintaining confidentiality as needed.
Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.
Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact professionalism and diplomacy.
Job Specific Duties:
Acts as resource and serves as first line of escalation for assigned area team members. Performs as a Patient Accounting liaison between patients clients providers payers vendors and other departments
Identifies and reports payer related issues and potential payment discrepancies for assigned area(s).
Effectively trains and assists new and existing team members with assigned work in accordance with team expectations department productivity and quality standards.
Assists assigned leadership with special projects and maintains open and professional communication with leadership and staff.
Analyzes and interprets account data to facilitate timely claim and payment resolution. Collaborates and/or refers unresolved issues and escalates to appropriate party.
Posts payments and adjustments utilizing the appropriate fee schedule policy and/or procedures in accordance with patient statements remittance advices insurance carriers electronic downloads etc. as applicable to assigned area(s).
Ensures all communication both written and verbal is documented in a professional accurate clear and factual manner.
Completes account maintenance review to ensure account information is accurate within billing system.
Serves as subject matter expert in interpretation of explanation of benefits (EOB) message codes payer processing and identifies potential payment discrepancies.
Provides exceptional customer service to stakeholders for questions and concerns.
Contributes to the philosophy and goals of the team and department while maintaining a positive open-mind and focus on continuous improvement.
Lead may be expected to perform one (1) or more of the following tasks regularly:
Creates work schedule and assigns employees to specific worktasks.
Trains or coordinates the training of employees.
Oversees and coordinates successful completion of employees competency assessments and required training.
Acts as point-of-contact/subject matter expert for employee questions about expectations and processes.
Assists in interviewing job candidates.
Leads or coordinates compliance and quality efforts.
Other duties as assigned at the discretion of management excluding issuing corrective actions or administering performance evaluations
The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge skills and abilities required for the job. Not all of the duties may be assigned to a position.
Maintains regular and consistent attendance as scheduled by department leadership.
Shift:
Variable (United States of America)Schedule:
Logan Health operates 24 hours per day seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
Notice of Pre-Employment Screening Requirements
If you receive a job offer please note all offers are contingent upon passing a pre-employment screening which includes:
Criminal background check
Reference checks
Drug Screening
Health and Immunizations Screening
Physical Demand Review/Screening
Equal Opportunity Employer
Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status race color gender sexual orientation religion national origin age disability or any other basis protected by applicable law. If you require accommodation to complete the application testing or interview process please notify Human Resources.
Required Experience:
Unclear Seniority
Full-Time