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

Bozeman Health, Inc.

Job Overview

Location

Bozeman, MT

Job Type

Full-time

Full Job Description

📋 Description

• 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.
• The specialist will submit, audit, and manage claims for DME, prosthetics, orthotics, and supplies to payers.
• The specialist will verify patient insurance eligibility, obtain prior authorizations, and confirm medical necessity.
• The specialist will follow up on unpaid or denied claims, resolving discrepancies, and collecting payments.
• The specialist will ensure all documentation meets HIPAA and payer-specific standards to avoid fraud or denials.
• The specialist will review physician orders and patient care reports for accuracy.
• The specialist will review 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.
• The specialist will provide cross-trained front desk coverage during staff absences or scheduled vacations.
• The specialist will respond directly to patient billing questions and concerns in a timely and professional manner.
• The specialist will identify and escalate claim processing concerns to the Home Oxygen Manager.

🎯 Requirements

• High school diploma or equivalent.
• One (1) year of general or medical office experience.
• 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).

🏖️ Benefits

• Competitive salary.
• Comprehensive benefits package.
• Paid time off.
• Opportunities for professional growth and development.
• *Category:** HR & Recruiting
• *Parent Category:** Human Resources
• *Confidence:** 0.95
• *Reasoning:** The job title 'Insurance Billing Specialist' and the description of the role, which involves tasks such as claims submission, follow-up, and denial resolution, as well as working closely with the third-party biller and Home Oxygen Manager, indicate that this role is primarily related to HR & Recruiting.
• *Location:**
• city: Bozeman
• region: MT
• country_code: US
• is_remote: false

Skills & Technologies

Onsite

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Bozeman Health, Inc.

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About Bozeman Health, Inc.

Bozeman Health is a nonprofit, integrated health system headquartered in Bozeman, Montana, serving the healthcare needs of Southwest Montana and surrounding regions. The organization operates a full-service acute care hospital, numerous primary and specialty care clinics, urgent care centers, and a range of outpatient services including rehabilitation, home health, and hospice. Bozeman Health employs a multidisciplinary team of physicians, nurses, and support staff to deliver patient‑centered care across the continuum, emphasizing quality, safety, and community wellness. As a mission‑driven entity, it reinvests earnings into facility improvements, technology advancements, and outreach programs aimed at improving population health and access to care.

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