Are you ready to join the team here at Logan Health in Kalispell, MT?

We are looking for a knowledgeable Durable Medical Equipment Specialist.

This position is responsible for auditing patient account and provider-related clinical documentation to ensure compliance with insurance billing protocols.

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.

Qualifications:

• Minimum of one (1) of the following required:

  • Minimum of two (2) years’ DME experience.

  • Minimum of two (2) years’ healthcare billing experience.

• Strong knowledge of insurance billing and reimbursement practices.

• Familiarity with Medicare coverage criteria, Local Coverage Determinations (LCD), and industry regulations.

• Experience in auditing, billing, and compliance within a healthcare or medical setting.

• Excellent communication and customer service skills.

Key Responsibilities:

• Audit & Documentation Compliance: Conduct thorough audits of patient account and provider-related clinical documentation to ensure compliance with insurance billing standards and department protocols.

• Billing Support: Assist the billing office with appeals, re-determinations, and other billing issues related to patient accounts to ensure timely resolution and proper reimbursement.

• Reimbursement Monitoring: Monitor insurance claim reimbursements and allowable amounts to maximize reimbursement opportunities and identify potential discrepancies.

• Medicare Compliance: Stay up-to-date with Medicare coverage criteria and billing regulations to ensure adherence to Local Coverage Determinations (LCD) per department standards.

• Stakeholder Collaboration: Act as a resource for documentation requirements, guiding appropriate stakeholders to ensure accurate and compliant billing practices.

• Administrative Support: Perform a range of administrative, accounting, and billing tasks necessary to complete the business cycle efficiently and accurately.

• Customer Service: Provide exceptional customer service by responding promptly and accurately to audit requests and inquiries as per department procedures.

Shift:

Day Shift - 10 Hours (United States of America)

Schedule:

Logan Health operates 24 hours per day, seven days per week.  Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Notice of Pre-Employment Screening Requirements

If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes:

• Criminal background check

• Reference checks

• Drug Screening

• Health and Immunizations Screening

• Physical Demand Review/Screening

Equal Opportunity Employer

Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources.