Medical Billing & Collections Specialist

At Logan Health, we're more than just a healthcare provider—we're 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, you'll 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 you’ll be proud to call home.
** 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.#
** Join the Patient Accounting Team!
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* Location:

** Logan Health Medical Center – Kalispell, Montana  
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* Schedule:

** Day Shift – Variable Hours | PRN Status The
** Medical Billing & Collections Specialist
** plays a vital role in ensuring the accuracy, completeness, and timeliness of claim submissions, closely monitoring claim statuses, investigating rejections and denials, and documenting all account activities. This role requires strong critical thinking skills and an in-depth understanding of insurance eligibility, payment methodologies, and contractual adjustments based on government regulations.

Additionally, this role works heavily with Medicare and Medicare Advantage plans and requires familiarity with governmental regulations and guidelines. The applicant must demonstrate proficiency in billing systems, to optimize efficiency, ensure compliance, and facilitate the seamless processing of claims. With a keen attention to detail and expertise in navigating complex insurance requirements, this position supports operational excellence and contributes to the organization’s financial health.
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* Key Responsibilities:

*** Submit and monitor claims to primary, secondary, and/or tertiary insurance companies according to insurance guidelines.
* Perform follow-up on unpaid insurance claims identified via aging reports.
* Review and process claim appeals and refund requests as needed.
* Identify and report trends and insurance issues related to billing and reimbursement to leadership.
* Maintain Privacy & Confidentiality of patient information and organizational operations in accordance with HIPAA.
* Reallocate and settle misapplied insurance payments and adjustments.
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* Basic Qualifications:

*** 2+ years of experience in a business, medical, or clinical environment.
* Proficiency in Electronic Medical Record (EMR) billing systems.
* Strong knowledge of medical terminology and health insurance guidelines.
* Fluent in English, both spoken and written.
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* Preferred Qualifications:

*** Experience with Medicare and/or Medicaid UB-04 & CMS-1500 claim forms.
* Advanced skills in Electronic Medical Record Billing systems, including Meditech and Cerner.
* Proficiency in Microsoft Office Suite, particularly intermediate skills in Excel (e.g., data entry, formulas, basic functions), Microsoft Teams Outlook.
* Strong time management, organizational, and relationship-building skills.
* Ability to prioritize tasks in a fast-paced environment with minimal supervision.
* Maintains regular and consistent attendance as scheduled by department leadership.

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* Qualifications:

*** Minimum of one (1) year experience in a hospital or medical office setting preferred.
* Proficient with basic accounting and ten-key by touch preferred.
Prior experience with business mathematical tasks and correspondence preferred.
* Excellent interpersonal and customer service skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
* Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel, and ability to learn other software as needed. Proficiency in Excel preferred.
* Possess ability to maintain confidentiality and understand HIPAA guidelines and other applicable federal laws.
* Excellent organizational skills,…