Medical Billing & Collections Specialist

Logan Health; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking healthcare provider dedicated to delivering exceptional care and fostering a supportive work environment. As a Medical Billing & Collections Specialist, you will play a crucial role in ensuring the accuracy and timeliness of claim submissions while navigating complex insurance requirements. This position offers the flexibility of full-time remote work, allowing you to contribute to the organization's financial health from the comfort of your home. With a commitment to compassion, innovation, and excellence, you will be part of a dynamic team that values your skills and empowers you to make a meaningful impact in healthcare. Embrace the opportunity to grow and thrive in a place where your passion meets purpose.

Qualifications

• Experience in medical billing and collections is essential.
• Proficiency in EMR systems and strong knowledge of insurance guidelines.

Responsibilities

• Process insurance claims and follow up on unpaid accounts.
• Maintain privacy and confidentiality of patient information.
• Identify trends in billing and report findings to leadership.

Skills

Critical Thinking

Medical Terminology

Insurance Guidelines

Time Management

Organizational Skills

Education

2+ years in a business, medical, or clinical environment

Tools

Electronic Medical Record (EMR) systems

Microsoft Office Suite

Job description

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.

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.

The Medical Billing & Collections Specialist plays a vital role in ensuring the accuracy, completeness, and timeliness of claim submissions, closely monitoring claim statuses, investigating rejections and denials, and documenting all account activities. This role requires strong critical thinking skills and an in-depth understanding of insurance eligibility, payment methodologies, and contractual adjustments based on government regulations.

Additionally, the specialist must demonstrate proficiency in billing systems to optimize efficiency, ensure compliance, and facilitate the seamless processing of claims. With a keen attention to detail and expertise in navigating complex insurance requirements, the Medical Billing & Collections Specialist supports operational excellence and contributes to the organization’s financial health.

Key Responsibilities:

1. Process claims to appropriate primary, secondary, and/or tertiary insurance company according to insurance guidelines.
2. Perform follow-up on unpaid insurance accounts identified through aging reports.
3. Process appeals when appropriate.
4. Process refund requests.
5. Identify trends and carrier issues relating to billing and reimbursements; report findings to leadership.
6. Maintain Privacy & Confidentiality of patient information and organizational operations.
7. Responsible for learning, understanding, and following payer guidelines.
8. Reallocate misapplied payments and adjustments.
9. Work special assignments when needed.

Basic Qualifications:

1. 2+ years of experience in a business, medical, or clinical environment.
2. Proficiency in Electronic Medical Record (EMR) billing systems.
3. Strong knowledge of medical terminology and health insurance guidelines.
4. Fluent in English, both spoken and written.

Preferred Qualifications:

1. Experience with specific EMR systems, including Meditech and Cerner.
2. Proficiency in Microsoft Office Suite, particularly intermediate skills in Excel (e.g., data entry, formulas, basic functions).
3. Ability to work effectively in a fast-paced, dynamic environment with strong time management and organizational skills.
4. Demonstrated ability to prioritize tasks and complete work with minimal supervision.
5. Proven ability to build and maintain professional relationships.
6. Consistent and reliable attendance as scheduled by leadership.

This position offers full-time remote work.

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

1. Arkansas
2. Arizona
3. Colorado
4. Florida
5. Hawaii
6. Idaho
7. Illinois
8. Indiana
9. Kansas
10. Michigan
11. Missouri
12. Montana
13. Minnesota
14. New Mexico
15. North Carolina
16. Ohio
17. Oregon
18. South Dakota
19. Tennessee
20. Texas
21. Virginia
22. Washington
23. Wyoming

Shift: Day Shift - Variable Hours (United States of America)

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:

1. Criminal background check
2. Reference checks
3. Drug Screening
4. Health and Immunizations Screening
5. 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.