Job Description Summary:

At Logan Health, we're more than just a healthcare provider—we're a community. Nestled in the heart of Montana, we are committed to delivering exceptional care to our patients while fostering a supportive and collaborative work environment for our team. As a member of Logan Health, you'll be part of a dynamic team that values compassion, innovation, and excellence. We offer opportunities for growth, comprehensive benefits, and a chance to make a meaningful impact in the lives of those we serve. Come join us and experience the Logan Health difference, where your passion meets purpose in a place you’ll be proud to call home.

The Medicare Medical Billing & Collections Specialist is responsible for timely and accurate claim submission, monitoring claim status, resolving rejections and denials, and processing adjustments for Medicare accounts. This role requires critical thinking skills and a solid understanding of Medicare eligibility, payment methodology, and government regulations. Proficiency with Meditech and/or Cerner billing systems is essential to ensure efficient claim processing

Key Responsibilities:

• Submit claims to primary, secondary, and tertiary insurance in accordance with guidelines.

• Follow up on unpaid insurance accounts via aging reports.

• Handle claim appeals and refund requests as needed.

• Identify billing and reimbursement trends and report to leadership.

• Maintain patient confidentiality and follow payer guidelines.

• Reallocate misapplied payments and adjustments.

• Assist with special assignments when required.

Basic Qualifications:

• 2+ years of experience in a business, medical, or clinical environment.

Preferred Qualifications:

• Experience with Medicare and/or Medicaid UB-04 & CMS-1500 claim forms.

• Advanced skills in Electronic Medical Record Billing systems, including Meditech and Cerner.

• Familiarity with medical terminology and insurance guidelines.

• Proficiency in MS Word, Excel, PowerPoint, and Outlook.

• Fluent in English (spoken and written).

• Strong time management, organizational, and relationship-building skills.

• Ability to prioritize tasks in a fast-paced environment with minimal supervision.

• Maintains regular and consistent attendance as scheduled by department leadership.

This position offers full-time remote work.

To be eligible, you must reside in one of the following states:  

• Arkansas

• Arizona

• Colorado

• Florida

• Hawaii

• Idaho

• Illinois

• Indiana

• Kansas

• Michigan

• Missouri

• Montana

• Minnesota

• New Mexico

• North Carolina

• Ohio

• Oregon

• South Dakota

• Tennessee

• Texas

• Virginia

• Washington

• Wyoming

Shift:

Day Shift - 8 Hours (United States of America)

Schedule Details:

Please know schedules and shifts are subject to change based on patient care and department/organizational needs.

Please know schedules and shifts are subject to change based on patient care and department/organizational needs.

We are committed to creating a supportive, team-driven environment where your skills can flourish. Our organization operates 24/7, offering flexibility in your schedule while empowering you to be a part of something bigger—improving healthcare outcomes for all.

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.