Top 17 Claims specialist Jobs in Bozeman, Mt

Insurance Billing Specialist- Home Oxygen (FT- 0.9 FTE, Day Shift)
Bozeman Deaconess Hospital —Bozeman, MT
- Weekends as needed
- HIPAA
- Mid-level
- High school diploma or GED
Acquisition Specialist - State Farm Agent Team Member
Daniel Corbin - State Farm Agent —Bozeman, MT
- $42,000 - $60,000 a year
- Full-time
- Office
- Business development
- Communication skills
- 401(k)
- Paid time off
Quick Apply
Customer Service & Warranty Repair Specialist
Black Gold —Belgrade, MT
- $20 - $22 an hour
- Full-time
- Hybrid work
- Background check
- Dealership
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
10d
Casualty Specialist II
First Acceptance Services Inc —United States
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
Senior General Liability Litigation Specialist
TheBest Claims Solutions —United States
- $85,000 - $110,000 a year
- Remote
- Senior level
- 2 years
- Commercial

More jobs to discover

Find similar jobs that you might be interested in.

Acquisition Specialist - State Farm Agent Team Member
Daniel Corbin - State Farm Agent —Bozeman, MT
Engage with prospective customers through calls, emails, and community outreach. Must be able to obtain applicable state insurance licenses.
$42,000 - $60,000 a year
Quick Apply

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Orthopedic Coding Specialist- Spine/Trauma Focus- $2000 Sign-On-Bonus- In-State Remote
Orthopedic One —Westerville, OH
Candidates must have current certification as a Certified Professional Coder, or equivalent, and additional certification specific Orthopedic Coding is…
Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc. —Worthington, OH
Driver’s license and insurable driving record, if applicable. Adheres to company policies and procedures in addition to regulations, laws and other requirements…
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for claims specialist in bozeman, mt

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims specialist jobs near bozeman, mt

Customer Service Representative jobs in Belgrade, MT

Billing Specialist jobs in Bozeman, MT

Marketing Associate jobs in Bozeman, MT

Customer Service Representative jobs in Charlotte, NC

Customer Service jobs in Florida

Customer Service Representative jobs in Hattiesburg, MS

Business Development Representative jobs in Atlanta, GA

Customer Service Representative jobs in Elk Grove, CA

Customer Service Representative jobs in Los Angeles, CA

Customer Service Social Media Chat jobs in Remote

Billing Specialist jobs in Honolulu, HI

Peer Support Specialist jobs in Buffalo, NY

Remote Work From Home Medical Billing Specialist jobs in Florida

Remote Insurance Verification Billing jobs in Florida

Billing Specialist jobs in Greensboro, NC

Billing Specialist jobs in Macon, GA

Billing Specialist jobs in Greenville, SC

Marketing Associate jobs in Philadelphia, PA

Influencer Marketing jobs in Atlanta, GA

Marketing Associate jobs in Thousand Oaks, CA

Insurance Billing Specialist- Home Oxygen (FT- 0.9 FTE, Day Shift)

Bozeman Deaconess Hospital -
Bozeman, MT

Apply Now

Job Details

Full-time

Qualifications

High school diploma or GED

Full Job Description

Position Summary:

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. 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. 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.

Qualifications:

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).
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).

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.
Ensuring all documentation meets HIPAA and payer-specific standards to avoid fraud or denials.
Reviewing physician orders and patient care reports for accuracy.
Reviews accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and submitting adjustments for approval when necessary, routes claims for appeal, resubmits claims, or moves balances from insurance responsibility to patient responsibility when appropriate.
Provides cross-trained front desk coverage during staff absences or scheduled vacations.
Responds directly to patient billing questions and concerns in a timely and professional manner.
Identifies and escalates claim processing concerns to the Home Oxygen Manager.

Knowledge, Skills and Abilities

Demonstrates sound judgment, patience, and maintains a professional demeanor at all times.
Exercises tact, discretion, sensitivity, and maintains confidentiality.
Performs essential job functions successfully in a busy and stressful environment.
Learns current and new computer applications and office equipment utilized at Bozeman Health.
Strong interpersonal, verbal, and written communication skills.
Analyzes, organizes, and prioritizes work while meeting multiple deadlines.

Schedule Requirements

This role requires regular and sustained attendance.
The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
On-call work may be required to respond promptly to organizational, patient, or employee needs.

Physical Requirements

Lifting (Rarely – 30 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination.
Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints.
Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.
Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).

The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. 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

Apply Now

Refine Your Search

claims specialist jobs in bozeman, mt

Insurance Billing Specialist- Home Oxygen (FT- 0.9 FTE, Day Shift)

Acquisition Specialist - State Farm Agent Team Member

Customer Service & Warranty Repair Specialist

Appeals Professional III (Licensed Clinician)

Casualty Specialist II

Senior General Liability Litigation Specialist

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for claims specialist in bozeman, mt

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected