Medical Billing Specialist

Lifepoint Health • Missoula, MT

7d • Onsite

About The Position

At Community Medical Center, the Medical Billing Specialist position is identified as Revenue Cycle Analyst, with basic functions focused on medical billing. The role reconciles and posts payments, identifies discrepancies, analyzes payment issues, and ensures timely posting. It also involves uploading bank files, balancing them to a shared hospital financial spreadsheet, contacting insurance companies, and managing assigned Athena claims worklists. The position reports to the Patient Financial Services Director.

The specialist reviews and maintains the charge description master and other pertinent regulations and policies to ensure data accuracy and compliance with payer requirements. The role analyzes financial and utilization data to support decisions about revenue cycle metrics and reimbursement, interprets regulatory billing and coding updates, and resolves issues related to submitted information and revenue cycle processes. It also supports validation reviews, audits, documentation, and training, collaborates with Finance, Medical Records, and other revenue-producing departments, and works with the lab to ensure late charges are applied to the correct accounts. Other duties may be assigned.

Requirements

• High school graduate or equivalent.
• At least 5 years of experience in finance or billing.
• Basic computer skills.
• Knowledge of CPT and HCPC codes.
• Must reside in Montana; the position is not remote.

Nice To Haves

• Excel experience.
• Medical billing experience.
• Coding background.

Responsibilities

• Upload bank files and balance them to a shared hospital financial spreadsheet.
• Contact insurance companies and work assigned claims worklists.
• Reconcile and post all payments received, identify discrepancies, analyze payment issues, and ensure timely posting.
• Manage Athena claims worklists as assigned.
• Review and maintain the charge description master and other pertinent regulations and policies, ensuring data accuracy and compliance with payer requirements.
• Analyze financial and utilization data to provide decision-making information relating to revenue cycle metrics and reimbursement.
• Review and interpret regulatory billing and coding updates to maintain compliance and accuracy and minimize misbilling.
• Resolve issues arising from submitted information and revenue cycle processes.
• Provide validation reviews, audits, documentation, and training in the area of knowledge, sharing information with Finance, Medical Records, and other revenue-producing areas or departments.
• Work closely with the lab to ensure late charges are applied to the accurate account.
• Perform other duties as assigned.

Benefits

• Comprehensive medical, dental, and vision plans.
• Flexible-spending and health-savings accounts.
• Competitive paid time off and extended illness bank package for full-time employees.
• Income-protection programs, including life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage.
• Tuition reimbursement and loan assistance.
• 401(k) matching.
• Employee assistance program including mental, physical, and financial wellness.
• Professional development and growth opportunities.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED