Role Description The Revenue Cycle Specialist - Self Pay (REMOTE) supports various aspects of the revenue cycle process, including: - Claims submission - Billing - Coding - Payment posting - Accounts receivable management This position ensures timely and accurate reimbursement by: - Identifying and resolving claim issues - Following up with payers - Adhering to payer and regulatory guidelines The Revenue Cycle Specialist plays a key role in optimizing revenue cycle workflows and ensuring compliance with organizational policies. Qualifications - H.S. Diploma or GED required - Associate Degree in Healthcare Administration, Business, or a related field preferred - 1-3 years of experience in healthcare revenue cycle operations, including claims processing or accounts receivable management required - Experience with claim denials and payer reimbursement processes preferred - Familiarity with electronic health record (EHR) systems and revenue cycle software preferred Requirements - Knowledge of revenue cycle processes, including claims submission, payment posting, and AR management - Basic understanding of healthcare billing and coding, including CPT, ICD-10, and HCPCS codes - Attention to detail and problem-solving skills for resolving claim and payment issues - Organizational skills to manage tasks, prioritize workload, and meet deadlines - Strong verbal and written communication skills for collaborating with team members and payers - Knowledge of HIPAA and other regulatory requirements impacting the revenue cycle - Proficiency with revenue cycle software, EHR systems, and Microsoft Office applications Benefits - Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy - Future Security: 401(k) with matching - Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future - Educational Tuition Assistance - Competitive Pay & Full Benefits – A salary and package designed to reward your expertise and dedication

• Design, document, and improve sales, marketing, and customer success processes to maximize efficiency and revenue growth • Build dashboards, analyze funnel metrics, and provide leadership with actionable insights to drive strategic decisions • Administer our CRM (e.g.HubSpot) and other RevOps tools, ensuring integrations, data hygiene, and system reliability • Partner with sales, marketing, and finance to align on goals, metrics, and revenue strategies • Support forecasting, territory planning, and quota setting with data-backed recommendations • Train teams on processes, tools, and best practices, and create documentation to ensure consistency and compliance

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.