Reimbursement Specialist

Lifepoint Health • Missoula, MT

7h • Onsite

About The Position

An Reimbursement Speicalist is responsible for ensuring that all oncology-related services, procedures, and treatments are properly authorized or pre-certified before they are rendered, in compliance with insurance and payer requirements.

Requirements

• High school diploma or equivalent required
• Minimum 2 years in a medical business office or healthcare setting with patient-facing responsibilities
• Prior authorization experience preferred

Nice To Haves

• post-secondary courses in medical terminology, diagnosis, CPT coding, anatomy & physiology
• medical assistant, health unit coordinator, or healthcare business service program

Responsibilities

• Verify that oncology services meet pre-certification or pre-authorization requirements before treatment begins.
• Confirm patient insurance eligibility and benefits, ensuring coverage for scheduled oncology procedures and/or medications, radiology imaging and surgeries.
• Complete and submit accurate third-party payer authorization requests, including gathering and verifying CPT codes, diagnosis codes, and other required data elements.
• Communicate with oncology physicians, nurse practitioners, and ancillary departments to obtain necessary documentation and physician orders.
• Record authorization approvals or denials in the electronic health record (EHR) and ensure all required signatures are obtained for treatments.
• Provide clear information to patients about authorization status, costs, and any required pre-payments.

Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED