Senior Recovery Resolution Analyst Jobs in Kalispell, MT

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.
Join the Patient Accounting Team!
Location: Logan Health Medical Center - Kalispell, Montana
Schedule: Day Shift - 8 Hours | Full Time - 40 Hours
Are you driven to elevate the healthcare experience and provide expert support in patient billing and collections? At Logan Health, we're seeking a Senior Patient Accounting Specialist to bring leadership and specialized knowledge to our team. In this essential role, you will be at the forefront of billing, payment posting, collections, claims research, and accounts receivable, ensuring efficient and accurate processes across the board. You'll also play a key part in guiding and training team members, addressing first-level questions and escalations, and supporting our mission to deliver exceptional service and uphold the highest standards of patient care. Join us and make a meaningful impact every day.
Key Responsibilities:

• Serve as the first point of contact and support for Patient Accounting team members, patients, clients, providers, payers, and other departments.
• Identify and report payment issues and discrepancies and assist in resolving them.
• Train and support new and current team members, ensuring work meets department standards.
• Assist leadership with special projects and maintain open communication.
• Analyze account data to resolve claims and payments, escalating unresolved issues as needed.
• Post payments and adjustments according to policies and procedures.
• Document all communication professionally and accurately.
• Review account information for accuracy in the billing system.
• Interpret explanation of benefits (EOBs) to identify payment discrepancies.
• Provide exceptional customer service to stakeholders.
• Participate in team meetings and support team goals with a focus on improvement.
• Maintain regular attendance as scheduled.

Basic Qualifications:

• Meet one of the following:
  
  • 1+ year of experience in claims, billing, or collections.
  • 2+ years in a business office setting.
  • Associate's degree in a related field.
  • Equivalent combination of education and experience.
• Proficient in Microsoft Word, Outlook, and Excel, with the ability to learn new software.

Preferred Qualifications

• Strong problem-solving, analytical, and training skills.
• Experience in healthcare, hospital, or medical office settings, knowledge of claim resolution, and payer regulations.
• Excellent interpersonal, organizational, and communication skills.
• Maintain confidentiality and understand HIPAA guidelines.

Qualifications:

• Minimum of one (1) of the following requirements:
  
  • Minimum of one (1) year working experience with claims, billing and/or collections;
  • Minimum of two (2) years' in a business office setting;
  • Associates degree in a related field; or
  • An equivalent combination of education and experience.
• Demonstrated high level problem solving, analytical and/or investigational skills required.
• Possess training skills to successfully share working knowledge and experience with others required.
• Previous hospital or medical office setting preferred. Possess working knowledge of claim resolution preferred. Possess knowledge and understanding of payer regulations preferred.
• Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
• Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel, and ability to learn other software as needed. Proficiency in Excel and /or revenue cycle software preferred.
• Excellent verbal and written communication skills including the ability to communicate effectively with various audiences required. Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
• Possess ability to maintain confidentiality and understand HIPAA guidelines and other applicable federal laws.

Job Specific Duties:

• Acts as resource and serves as first line of escalation for Patient Accounting specialist team members. Performs as a Patient Accounting liaison between patients, clients, providers, payers, vendors and other departments
• Identifies and reports payer related issues and potential payment discrepancies.
• Effectively trains and assists new and existing team members with assigned work in accordance with team expectations, department productivity and quality standards.
• Assists Team Lead and assigned leadership with special projects and maintains open and professional communication with leadership and staff.
• Analyzes and interprets account data to facilitate timely claim and payment resolution. Collaborates and/or refers unresolved issues and escalates to appropriate party.
• Posts payments and adjustments utilizing the appropriate fee schedule, policy and/or procedures in accordance with patient statements, remittance advices, insurance carriers, electronic downloads, etc.
• Ensures all communication, both written and verbal, is documented in a professional, accurate, clear and factual manner.
• Completes account maintenance review to ensure account information is accurate within billing system.
• Interprets explanation of benefits (EOB) message codes, validates payer processing and identifies potential payment discrepancies.
• Provides exceptional customer service to stakeholders for questions and concerns.
• Participates in team meetings and activities. Contributes to the philosophy and goals of the team and department while maintaining a positive, open-mind and focus on continuous improvement.
• The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.

Maintains regular and consistent attendance as scheduled by department leadership.
Shift:
Day Shift - 8 Hours (United States of America)
Schedule:
Logan Health operates 24 hours per day, seven days per week. 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.