Bozeman Health
Insurance Billing Specialist- Home Oxygen (FT- 0.9 FTE, Day Shift)
Bozeman, MT
Sponsorship not specifiedDetected 9 days ago
ComplianceAuditingHIPAAEpicEHR/EMRICD-10Patient CareRadiologyCommunication
About the role
- This role works closely with the third-party biller and Home Oxygen Manager to prepare and submit durable medical equipment (DME) claims, resolve claim edits, and complete payer follow-up for unpaid, returned, or denied claims.
Responsibilities
- The specialist monitors payer responses, coordinates corrected or replacement claims and appeals, and reports payer trends or systemic issues to support Revenue Cycle performance improvement.
- Demonstrates sound judgment, patience, and maintains a professional demeanor at all times.
- Exercises tact, discretion, sensitivity, and maintains confidentiality.
Requirements
- Experience billing DME/Home Oxygen and knowledge of Medicare DMEPOS billing requirements.
- Experience using Brightree or similar DME billing platform.
- Experience using Epic or other EHR/PM systems.
- Working knowledge of ICD-10-CM and HCPCS Level II coding and payer policies (Medicare/Medicaid/commercial).
- Knowledge, Skills and Abilities
- On-call work may be required to respond promptly to organizational, patient, or employee needs.
- Required
- High school diploma or equivalent.
- One (1) year of general or medical office experience.
- Preferred
- Medical billing certification or completion of a medical billing program (e.g., CPC, CPB, CMRS or equivalent).
- Two (2) years of healthcare billing experience, including claims submission, follow-up, and denial resolution (DME experience preferred).
- Essential Job Functions: In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
- Submitting, auditing, and managing claims for DME, prosthetics, orthotics, and supplies to payers.
- Verifying patient insurance eligibility, obtaining prior authorizations, and confirming medical necessity.
- Following up on unpaid or denied claims, resolving discrepancies, and collecting payments.
Skills
- They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.
- 77363095 Home Oxygen
Benefits
- The Home Oxygen Insurance Billing Specialist supports Bozeman Health Home Oxygen by helping obtain maximum and appropriate reimbursement through accurate, timely, and compliant billing practices.
- Provides cross-trained front desk coverage during staff absences or scheduled vacations.
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This listing is sourced directly from Bozeman Health's careers page and normalized into a canonical job model.