Title: Revenue Cycle Denial Specialist (FT- 1.0 FTE, Day Shift, Remote) Location: Remote time type Full time job requisition id R13737 This position can be remote. Please review the approved remote states below. Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin North Carolina Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary: The Revenue Cycle Denial Specialist reviews, analyzes, and resolves post-billed denials and rejections for hospital and professional claims to support accurate reimbursement and denial prevention. This role applies expertise in payer requirements, government regulations, and appeal processes to determine root cause, validate denial rationale, and drive corrective actions. The specialist prepares and manages appeals within required timelines, collaborates across departments to reduce avoidable denials, and provides reporting and education to support system-wide revenue cycle performance. Provides reporting, analysis, and coordination support for the Denial Steering Committee and Task Force to drive denial reduction strategies and operational improvements. Minimum Qualifications: Required - Associate's degree or Certification in Healthcare Business, or related field, or equivalent combination of education and experience may be considered. - Three (3) years of healthcare experience in a revenue cycle position. - Three (3) years of experience working with International Classification of Diseases, Tenth Revision (ICD-10) diagnosis and procedure coding, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and coding guidelines. - Proficiency with Microsoft Office applications, including advanced Excel, Word, and PowerPoint skills. Preferred - Healthcare Financial Management Association Revendure Cycle Representative (HFMA CRCR) or Certified Professional Coder (CPC) certifications. - Five (5) years of experience in a hospital revenue cycle billing position. - Experience with Epic or other electronic medical record (EMR) applications. - Experience using payer portals, electronic work queues, and denial/appeals tracking tools. 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. - Analyze denials to determine root cause, appeal eligibility, and appropriate resolution strategy. - Prepare, submit, and track payer appeals and reconsiderations within required timeframes. - Manage the full appeal lifecycle, ensuring compliance with contractual and regulatory requirements. - Monitor denial and appeal trends; develop reports and dashboards for leadership and committees. - Present findings and recommendations to support denial reduction and process improvement efforts. - Collaborate with coding, billing, clinical, compliance, and operational teams to address denial drivers. - Develop and deliver education and training to reduce avoidable denials and improve workflows. - Support denial-related committees and task forces through reporting, analysis, and coordination. - Manage audit requests, including Recovery Audit Contractor (RAC) and governmental audits, ensuring timely submission and tracking. - Perform audits and utilize reporting tools (e.g., Epic) to support data analysis and operational insights. - Maintain knowledge of payer rules, state and federal regulations, and reimbursement requirements. 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 occasionally 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 the personnel so classified. 77211370 Patient Financial Services

Review and analyze pharmacy charges to ensure compliance with billing regulations, perform audits on documentation, and communicate with clinical staff to correct errors while maximizing revenue capture.

Role Description The Revenue Cycle Liaison performs detailed analytical and statistical review of the self pay A/R and billing system and serves as the direct contact for vendor management as liaison between self pay vendors and the Manager of PFE. The incumbent is responsible for identifying, reviewing, researching, analyzing and resolving self pay accounts receivables problems for the system application with minimum supervision and direction. This technical position acts as an internal liaison systems coordinator with the business office, working directly with IS&T Epic Application Analysts and Vendor IS&T, Client Executives, Managers and Supervisors in troubleshooting and problem resolution. - External contacts include third party and private insurance payers as well as Client Executives, Managers and Supervisor with our contracted vendors. - Internal contacts are primarily with the work group and IS&T, but also may include but are not limited to Patient Care Teams, Clinical Directors, Medical Records Staff, Patient Financial Services and Revenue Integrity. Qualifications - Two years college or medical business school preferred. - Minimum five (5) years relevant healthcare billing experience with background in research and analysis of billing problems and/or accounts receivables. - Minimum two (2) years computer experience or training. - Experience in developing, implementing, operating, maintaining or using information systems in hospital and/or clinic settings. Benefits - Rooted in the local community. - Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years. - Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you. - Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. - Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other. - Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued. - Work and live where natural beauty, adventure and strong community connections are part of everyday life. - We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. - The pay scale is $61,172.80 - $84,489.60 USD, influenced by factors specific to applicants.

• Own and scale Polygon Labs’ global revenue organisation across enterprise sales, strategic collaborations, customer expansion, and revenue operations, with accountability for driving sustainable revenue growth • Define the commercial strategy and operating model required to scale revenue efficiently, including ICP prioritisation, pricing discipline, pipeline quality, and long-term customer value creation • Establish clear frameworks for ICP prioritisation, deal quality, pricing discipline, and commercial decision-making, with a focus on long-term strategic value, sustainable economics, and durable revenue growth • Build and operate the commercial cadence for the company, including pipeline governance, forecasting accuracy, deal reviews, compensation design, performance management, and executive reporting • Partner closely with Product and Marketing leadership to translate product strategy into scalable go-to-market execution, enterprise adoption, and measurable commercial outcomes • Develop and mentor senior commercial leaders capable of independently managing complex enterprise negotiations, executive stakeholder relationships, and strategic global accounts • Embed AI-enabled workflows across the commercial organisation to improve forecasting, deal analysis, account research, pipeline management, and operational efficiency at scale • Personally lead high-impact commercial situations when required, including strategic negotiations, executive customer engagements, and complex enterprise deals