Total 15 job vacancies by Bozeman Health Corporate

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Position Summary: 

The Insurance Billing Specialist’s main focus is to obtain maximum and appropriate reimbursement for Bozeman Health and all related entities,  hospital (HB) and/or professional (PB) claims from third party payers.  Supports the timely development and accurate submission of claims to third party payers to include insurance follow-up related to no response, returned claims, denied claims, or claim edits preventing claim submission, submitting corrected or replacement claims, and combining hospital accounts in accordance with payer billing policies.   Monitor, resolve or escalate payer denials, returned claims, claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that may require process improvement to strengthen the health of the Revenue Cycle as well escalating identified concerns to the HB or PB Supervisor.   Collaborate and coordinate with other Revenue Cycle functions or departments to resolve DNBs, claim edits, denials that are preventing  timely claim submission or appropriate reimbursement.  Prioritizes and completes accounts routed to billing WQs to reduce accounts receivable days and escalates high-dollar accounts or systemic issues to either the HB or PB Billing supervisor for resolution.   

Minimum Qualifications:

• High School Diploma or Equivalent
• One (1) year of general or medical office experience
• Preferred: Epic experience
• Preferred: Completion of program in medical billing degree or certification program
• Preferred: Two (2) years of healthcare hospital and/or professional billing experience

Essential Job Functions:

• Submits timely and accurate claims to primary, secondary, and tertiary insurances for both electronic and paper submission
• Follows up on applicable No Response WQs and Rejected Claims WQs through phone contact or written correspondence to ensure that no account reaches 180 days old from discharge date and still due by insurance, regardless of dollar amount
• Reviews 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
• Ensures that claims have appropriate information on them for submission to insurance companies or agencies by reviewing claim edit WQs and other prebilling insurance WQs and escalates systemic issues identified to supervisor
• Assists Customer Service with claim processing questions
• Identifies and escalates concerns regarding claim processing to Billing Supervisor

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
• Works varied shifts as scheduled and/or needed

Position Summary: 

The Network Engineer is responsible for the operation, security, and day to day maintenance of the systems network, servers, switches and data and voice communications. This position works closely with the Desktop Support Specialist and telecom to give those positions assistance in fulfilling their respective responsibilities to keep all computer operations functioning. The network administrator role includes installing, configuring and upgrading network infrastructure and associated devices. Diagnosing and troubleshooting both common and unusual network problems.  Performing preventive maintenance on the network, along with monitoring performance on both the local area network (LAN) and wide area network. The network is monitored 24/7.  Develop and maintain server and network system diagrams. This position is also responsible for the installation, operations, upgrade, performance, and monitoring of the network and application servers – as well as security camera and building security systems.

Minimum Qualifications:

• Associate degree or 5 years of related experience
• Two years network experience
• Two years wireless experience
• Two years of Citrix experience
• Five years server, desktop and peripheral experience
• Preferred: Bachelor's Degree
• Preferred: Cisco certifications
• Preferred: Prior hospital or medical practice experience

Essential Job Functions:

• Install, maintain, upgrade, and troubleshoot routers, gateways, firewalls, and other networking infrastructure for local area and wide area networks (LAN/WAN), including Internet connectivity.
• Support backup and disaster recovery solutions associated both BH and the affiliated clinics core system infrastructure.
• Install, administer, support, and maintain server hardware, peripherals, software, and operating systems.
• Manage and support the information systems security solutions that make up both BDH and the affiliated clinics core infrastructure.
• Assist other IS staff with resolution of technical and process issues.
• After-hours on-call duties

Knowledge, Skills and Abilities

• Ability to work in a busy and stressful environment
• Creativity, problem analysis and decision making
• Ability to work varied shifts
• Computer applications, MS Office, EMR, internet applications and standard office equipment
• Ability to analyze, organize and prioritize work while meeting multiple deadlines
• Self-directed, completes assignments accurately, thoroughly and with minimal oversight
• Strong emotional intelligence, interpersonal and teamwork skills

Position Summary: 

The Industrial and Systems Engineering Intern will have the opportunity to work alongside our project support and change management team and contribute to real-world projects that have a meaningful impact. This internship is designed to provide you with valuable industry experience, mentorship, and the chance to apply your academic knowledge in a practical setting. This position provides insight and experience with the daily operations of the hospital, medical office buildings, healthcare systems, and technology.

Minimum Qualifications:

• High School Diploma or Equivalent
• Currently pursuing a bachelor's or master's degree in a relevant systems or industrial engineering field.
• Strong academic record with coursework related to the internship position.

Essential Job Functions:

• Collaborate with leaders, project managers, and planners on various process improvements, continual quality improvement, and other projects.
• Assist in project planning, research, and data collection.
• Contribute to the development and execution of project and process design and analysis.
• Prepare technical reports, documentation, and presentations for internal and external stakeholders.
• Maintain accurate project records and documentation.
• Perform daily rounds with teams when partnering on projects and process redesigns.
• Use academic learnings to identify additional improvement considerations for projects and process redesigns.
• Review business cases and other operational analyses to identify evidence-based recommendations on project and process design.
• Work closely with cross-functional teams to achieve project objectives.
• Participate in team meetings and brainstorming sessions.

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
• Works varied shifts as scheduled and/or needed

Position Summary: 

The System Director of Infrastructure & Technology is responsible for overseeing and managing the IT infrastructure and operations for the organization. Overtight includes managing the technology systems, networks, servers, storage, and software used in the organization. Effectively manages daily operations of the Bozeman Health’s Information Technology and PACS departments that includes data center operations, technical services, desktop, engineering, network operations and help desk. Directs and approves the design of security systems and ensures that disaster recovery and business continuity plans are in place and tested.  Reviews investigations after breaches or incidents, including impact analysts and recommendations to avoid future incidents.  Maintains a current understanding of threats and translates that knowledge into identifying risks and producing actionable plans to protect the business.  Updates the cyber security strategy and keeps management updated on status and risks.  Collaborating closely with the Chief Information Officer and other IT leadership to execute the technology roadmap in alignment with the overall strategic plan, the System Director will work hands-on with staff as needed to get the job done in a collaborative, high-energy environment.

Minimum Qualifications:

• Bachelor’s Degree in Information Technology or 15 years of experience in the Healthcare Industry
• Ten (10) years of related experience with a majority of those years in an IT leadership role
• Strong working knowledge of Information Technology and Information Systems
• Preferred: Certification in one or more of the following: ITIL, Project Management, Process Improvement Methods, CISSP, hardware and software asset management

Essential Job Functions:

• Directs broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and healthcare system requirements.
• Ensures a collaborative departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization.
• Establishes a working relationship with other department directors and senior leaders, collaborating on new technology needs or expanded uses for existing technology to increase functionality, efficiency, and staff satisfaction.
• Develops and executes IT security strategies that enhance and bolster the reliability and security of the IT infrastructure, systems, and projects.
• Provides general supervision of the IT department or function assigned; ensures the performance of direct report personnel, services, and/or technology; Conducts employee annual performance evaluations and staff supervision.

Knowledge, Skills and Abilities

• Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Strong interpersonal, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality

• Detail oriented, organizational skills and the ability to prioritize
• Standard office equipment and computer applications; MS Office, EMR, internet applications etc.
• Ability to work varied shifts

Position Summary: 

The Interface Developer I position supports the connection, data communication, and automation between Epic Ascent and internal and external systems in order to facilitate patient care.  This position will provide resource redundancy for the Interface Development team, allow for future growth of Community Partners, and continue to provide a value-added service of automating existing manual steps leveraging Bozeman Health’s interface engine.

Minimum Qualifications:

• Associate degree in a related field; equivalent combinations of education and/or experience considered
• One (1) year experience in programming / information technology

• Preferred: Bachelor Degree in related field
• Preferred: Two (2) years of Healthcare IT experience
• Preferred: Exposure to different data formats (e.g. HL7, XML, CSV, etc.)
• Preferred: Exposure to software development lifecycle (SDLC)
• Preferred: Corepoint Level I Certificate – Required within 3 Months of hire
• Preferred: Epic Bridges Certification – Required within 3 Months of hire
• Preferred: Epic Data Mover Certificate – Required within 3 Months of hire
• Preferred: ITIL Certification – Required within 12 Months of hire

Essential Job Functions:

• Develop, test, and implement HL7 interface messages leveraging Interface Engine
• Interact with clients to define and test new and existing interfaces
• Troubleshoot messages and data issues
• Document interface functionality and specifications
• Provide on-call support on rotating schedule
• Other duties as assigned

Knowledge, Skills and Abilities

• Demonstrate sound judgment, patience, and maintain a professional demeanor at all times
• Exercise tact, discretion, sensitivity, and maintain confidentiality
• Perform essential job functions successfully in a busy and stressful environment
• Learn current and new computer applications and office equipment utilized at Bozeman Health
• Strong interpersonal, verbal, and written communication skills
• Analyze, organize, and prioritize work while meeting multiple deadlines
• Work varied shifts as scheduled and/or needed

Position Summary:  

The System Manager of Clinical and Operations Resource Management oversees organizational patient flow and supports the hospital's patient flow objectives, as they relate to patient placement assignments, customer service and capacity optimization.  Oversight and accountability for the daily operations of the Central Staffing Office (CSO), Access Center (AC) RN Team, Ambulatory / Procedural / Hospital Float Pool, and House Supervisor (HS) RN Team.  Ensures efficient and effective orientation for all HS, AC, and CSO staff, and facilitates utilization of all inpatient unit-staffing activities.  Able to perform all duties of CSO, AC, and HS staff. Provides support to and works closely with the Nursing Clinical Operations Mangers for monitoring and improving operating efficiency and financial performance.

Qualifications:

• Bachelor’s degree in nursing or related field
• Current Montana Licensure (Registered Nurse)
• American Heart Association BLS
• American Heart Association ACLS (within 1 year)
• American Heart Association PALS (within 1 year)
• Five (5) years relevant clinical RN experience in acute care medical/surgical/critical care nursing
• Preferred: Two (2) years of demonstrated management experience in hospital operations or a clinical department is preferred
• Preferred: Recent experience in phone triage, phone processing, discharge planning, or case management
• Preferred: MSN

Essential Job Functions:

• Assists Director with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and healthcare system requirements.
• Ensures a collaborative departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization.
• Coordinates and oversees the organization-wide departmental services.  Continuously assesses, measures and improves departmental performance.
• Demonstrates responsible management of all departmental resources.
• Demonstrates clinical/technical and managerial competency.  Ensures staff professional needs are met.
• Leads, teaches, inspires, helps and consistently demonstrates healthcare system behavioral standards.

Knowledge, Skills and Abilities

• Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Strong interpersonal, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality

• Detail oriented, organizational skills and the ability to prioritize
• Standard office equipment and computer applications; MS Office, EMR, internet applications etc.
• Ability to work varied shifts

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Position Summary: 

The System Manager of Patient Financial Services is responsible for assisting other leaders and supervisors with planning, directing, organizing,  monitoring and staffing the department subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the executive team. Supports Patient Financial Services supervisors in maintaining team discipline for all elements of established standard processes (work management, tools, team briefings, metrics tracking and prompt resolution of issues, problems and opportunities).   Directs and coordinates all functions of Patient Financial Services that relate to billing and payment activities for Bozeman Health and all related entities. Researches and creates education for all department functions regarding billing and payment related issues. Educates, reports, and provides information to organization regarding billing and payment progress.  

Minimum Qualifications:

• Bachelor's degree in business-related field or the equivalent of five successful years’ business experience
• Three (3) years of experience prior experience in healthcare administration, revenue cycle, or management of accounts receivable
• Five years of managerial experience
• Knowledge of electronic healthcare payment transactions
• Prior experience with Epic
• Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing
• Preferred: Master’s degree in healthcare administration or business administration or related field.
• Preferred: Prior Patient Finance Services management experience

Essential Job Functions:

• Ensure the accurate development and submission of claims to support reimbursement, including timely filing requirements
• Monitor PFS billing and payment key performance indicators, i.e. collection rates, denial rates, clean claim rates, accounts receivable days, candidate for billing, undistributed payments, credit balances, and unposted payments
• Develop reports/dashboards to summarize billing and payment trends to the applicable committees, work groups, and department leaders
• Analyze, track, and trend payer reimbursement  behavior and collaborate with payers to mitigate underpayments and facilitate timely reimbursement
• Conduct research regarding billing denials as directed
• Maintain knowledge of State and Federal Regulations including, Medicare Conditions of Participation, Medicare Billing and Reimbursement regulations, Commercial payor billing rules, and Bozeman Health Payer Contracts
• Assists Director with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and healthcare system requirements
• Collaborates with the director to ensure a departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization and best practices
• Coordinates and oversees the organization-wide departmental services.  Continuously assesses, measures and improves departmental performance through mutually agreed upon and already approved metrics for success
• Demonstrates responsible management of all departmental resources
• Demonstrates clinical/technical and managerial competency.  Ensures staff professional needs are met
• Assesses current staffing model to determine if billing and payment functions are resourced appropriately
• Leads, teaches, inspires, helps and consistently demonstrates hospital healthcare system standards

Knowledge, Skills and Abilities

• Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to escalate issues to director and provide possible issue resolution
• Ability to work in a fast-paced environment
• Strong interpersonal, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality
• Detail oriented, organizational skills and the ability to prioritize
• Standard office equipment and computer applications; MS Office, EMR, internet applications etc.Ability to work varied shifts

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Position Summary: 

The System Manager of Revenue Integrity (RI) is responsible for assisting with planning, directing, organizing, monitoring, and staffing departmental services subject to policies, budgets, objectives, and directives mandated by regulatory agencies, DNV and the executive team.  Supports the revenue for the health system, through maintaining a compliant and defensible ChargeMaster (CDM), claim integrity and charge reconciliation program. Provides department and organizational training and education to promote the overall integrity of the CDM program. Works closely and collaboratively with all revenue cycle functions, HIM, IT, compliance, finance, and clinical departments. Research, develop, and conduct training regarding RI related issues.

Minimum Qualifications:

• Bachelor’s degree in business related field, accounting, or equivalent of five successful years’ related experience
• Three (3) years of experience in ChargeMaster role, or Healthcare Charge Equivalent
• Five years of managerial experience
• Prior experience with Epic
• Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, Swing Bed Billing, and Payor Enrollment
• Working knowledge of Coding and Payment Classification Systems, i.e. ICD-10, HCPCs, CPT, OPPS, IPPS, MPFS
• Preferred: Coding Certificate; Certified Provider Credentialing Specialist (CPCS)
• Preferred: Master’s degree in healthcare administration or business administration or related field.
• Preferred: Five years’ experience in Charge Master role

Essential Job Functions:

• Provides Leadership to RI operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and organizational requirements
• Ensures the accurate development and submission of claims to support reimbursement, including timely filing requirements in collaboration with applicable leaders
• Monitors RI key performance indicators, i.e. specific candidate for billing, revenue guardian edits, charge related edits, accounts receivable days, and applicable WQs
• Develops and analyzes reports/dashboards to summarize RI and charge related trends to applicable committees, work groups and department leaders
• Collaborates with the system director to ensure a departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization and budget goals
• Facilitates an accurate and timely CDM update as required by annual CPT and BH budget requirements, i.e. price increase in collaboration with IT
• Creates and maintains accurate fee schedules, i.e. client billing, professional billing, hospital billing
• Establishes internal quality monitoring program of the CDM to include external reviews and internal monitoring including the development of a plan to address opportunities identified
• Facilitates the request to make changes or updates to the CDM and ensures the accurate processing of such requests
• Maintains RI third-party applications in partnership with IT
• Oversees and facilitates the Revenue Reconciliation program for BH, including departmental education and accountability, chairs the Revenue Reconciliation Committee
• Oversees the payor enrollment function to ensure timely enrollment to reduce gaps in payor reimbursement, i.e. facility and individual provider enrollment
• Collaborates with medical staff office, human resources, and applicable operational leaders to support the payor enrollment function
• Coordinates and oversees the organization-wide departmental services.  Continuously assesses, measures and improves departmental performance
• Demonstrates responsible management of all departmental resources
• Demonstrates clinical/technical and managerial competency.  Ensures staff professional needs are met
• Assesses current staffing model to determine if the function is resourced appropriately
• Leads, teaches, inspires, helps and consistently demonstrates hospital behavioral standards

Knowledge, Skills and Abilities

• Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Demonstrates ability to escalate issues to system director and provide solutions to issues as they arise
• Ability to work in a fast-paced environment
• Strong interpersonal, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality
• Detail oriented, organizational skills and the ability to prioritize
• Standard office equipment and computer applications; MS Office, EMR, internet applications etc.
• Intermediate level MS Excel skills
• Ability to work varied shifts

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Position Summary: 

The System Manager of Customer Service is responsible for planning, directing, organizing, monitoring and staffing subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the executive team.  Supports the customer service function including the financial assistance program in maintaining team discipline for all elements of established standard processes and update or create as needed (work management, tools, team briefings, metrics tracking and prompt resolution of issues, problems and opportunities). Directs and coordinates all functions of customer service.  Conducts research and education for the customer service functions. Educates, reports and provides information to organization regarding collections, financial assistance, and the customer service function.

Minimum Qualifications:

• Bachelor’s degree in Business or Accounting; equivalent combination of education and experience considered.
• Three (3) years of experience in customer service in healthcare billing, financial assistance programs, admitting, and collections
• Five years of management experience
• Preferred: Master’s degree in healthcare administration or business administration or related field.
• Preferred: Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing

Essential Job Functions:

• Collaborates with the System Director of Revenue Cycle with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and organizational requirements, ultimately providing best in class customer service
• Assesses current state for gaps in becoming a best in class customer service team and refines communication to provide clear, concise and straightforward information including website patient facing information
• Ensures a collaborative departmental approach to long-range strategic operational planning, care and service design and development of organizational policies and procedures, which reflect the mission of the organization
• Supports and ensures compliance with all applicable collection laws and regulations, i.e.Fair Debt Collection Practices Act, and Financial Assistance Policy (501r regulations)
• Facilitates the implementation and consistent application of BH’s Financial Assistance (Charity Care) policy to include annual updates to the Amounts Generally Billed, patient notification, application process, eligibility criteria, community notification, and related forms
• Develops reports/dashboards to summarize collection and Charity Care trends to applicable committees, workgroups and department leaders as applicable
• Maintain knowledge of State and Federal Regulations including, Medicare Conditions of Participation, Medicare Billing and Reimbursement regulations, Commercial payor billing rules, Bozeman Health Payer Contracts, and ICD 10 and HCPCs coding classification systems
• Monitors customer service key performance indicators, i.e. collection rates, self-pay AR, MyChart collections and autopayment enrollment
• Analyze customer service and collection reports/dashboard to identify opportunities for improve and develop performance improvement plan
• Demonstrates responsible management of all departmental resources
• Demonstrates clinical/technical and managerial competency.  Ensures staff professional and training needs are met
• Represents customer service and collection functions throughout the organization and is the primary contact for pertinent organizational questions or inquiries
• Collaborates with System Director and Compliance Officer to develop and revise required training guides, customer service playbook, and policies/procedures as needed.
• Responsible for Verge cases assigned to customer service and works collaboratively with patient relations/risk management to resolve cases.
• Identifies trends in customer complaints and develops plan to prevent and mitigate
• Demonstrates ability to handle escalated customer concerns and resolves concerns in a timely, compassionate fashion.
• Develops plan to improve efficiencies in all areas of responsibility
• Acts as a liaison between organization and collection agencies and other vendors as needed
• Represent Bozeman Health on any legal collection cases that end up being reviewed in court
• Supports organizational data requests for audits, questionnaires, reports etc
• Assesses current staffing model and work assignments to ensure the department is adequately resourced
• Leads, teaches, inspires, helps and consistently demonstrates hospital behavioral standards

Knowledge, Skills and Abilities

• Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a fast-paced environment
• Ability to escalate issues to director and provide possible issue resolution
• Strong interpersonal, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality
• Detail oriented, organizational skills and the ability to prioritize
• Standard office equipment and computer applications; MS Office, EMR, internet applications etc.
• Ability to work varied shifts

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Position Summary: 

The Customer Service Supervisor is responsible for assisting with planning, directing, organizing, monitoring, and staffing departmental services subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the executive team.  Oversees and coordinates the customer service function for Bozeman Health and all related entities, to include self-pay follow-up, collection activities, financial assistance eligibility, validating coverage, in-bound and out-bound collection calls, triage of customer billing concerns, and in-person cash collections. Collaborate and coordinate with other Revenue Cycle functions or departments to resolve customer billing concerns.  Assist with the development and implementation of standardized workflows, i.e. customers service tips sheets, playbooks to ensures staff provide best in class customer service. Monitor the self-pay level work queues to assist with identifying systemic issues that may require process improvement to strengthen the health of the Revenue Cycle as well escalating identified concerns to the Customer Service manager.   

Minimum Qualifications:

• Associate's degree in Business or Accounting; an equivalent combination of education and experience will be considered.
• Three (3) years of experience in customer service with specific healthcare billing, financial assistance programs, patient access, or collections
• Three (3) years of supervisory experience
• Preferred: Bachelor’s degree in business or related field
• Preferred: Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing
• Preferred: Epic experience
• Preferred: Knowledge of applicable collection laws and regulations, i.e. Fair Debt Collection Practices Act, and Financial Assistance Policy (501r regulations)

Essential Job Functions:

• Assists department leadership with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies, collection laws and regulations (Fair Debt Collection Practices Act) and hospital requirements
• Supports and ensures compliance with all applicable collection laws and regulations, i.e.Fair Debt Collection Practices Act, and Financial Assistance Policy (501r regulations)
• Ensures a collaborative departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization
• Identifies gaps in becoming a best in class customer service team and refines communication in collaboration with the Customer Service manager to provide clear, concise and straightforward information including website patient facing information
• Supports the implementation and consistent application of BH’s Financial Assistance (Charity Care) policy to include annual updates to the Amounts Generally Billed, patient notification, application process, eligibility criteria, community notification, and related forms
• Ensures processing of financial assistance applications in a timely fashion and notifying customers of the determination
• Assists management in periodic audits from external sources, related to financial assistance and collection efforts
• Assisting management in rolling out scripting for staff and workflows to ensure best in class customer service to customers
• Monitors customer service key performance indicators, i.e. collection rates, self-pay AR, MyChart collections and autopayment enrollment
• Analyze customer service and collection reports/dashboard to identify opportunities for improve and develop performance improvement plan
• Ensures customer issues not resolved are escalated to the system manager in a timely fashion
• Demonstrates responsible management of all departmental resources
• Demonstrates clinical/technical and managerial competency.  Ensures staff professional needs are met
• Demonstrates ability to handle escalated customer concerns and resolves concerns in a timely, compassionate fashion.
• Identifies trends in customer complaints and develops plan to prevent and mitigate
• Leads, teaches, inspires, helps and consistently demonstrates hospital behavioral standards
• Acts as a back-up to Customer Service Manager in representing Bozeman Health on any legal collection cases that end up being reviewed by the courts

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
• Works varied shifts as scheduled and/or needed

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Position Summary:

The Revenue Integrity Supervisor assists the System Manager of Revenue Integrity (RI) with planning, directing, organizing, monitoring, and staffing departmental services subject to policies, budgets, objectives, and directives mandated by regulatory agencies, DNV, and the executive team.  Supports the revenue for the health system by maintaining a compliant and defensible Charge Master (CDM), claim integrity, and charger reconciliation program. Assists with departmental and organizational training and education to promote the overall integrity of the CDM program. Works closely with other organizational functions as directed and in collaboration with the RI Manager. 

Minimum Qualifications:

• Associate's degree in Business or Accounting; an equivalent combination of education and experience will be considered
• Three (3) years of experience in a ChargeMaster role or Healthcare Charge Equivalent
• Three (3) years of supervisory experience
• Prior experience with Epic
• Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, Swing Bed Billing, and Payer Enrollment
• Preferred: Bachelor’s degree in business or related field
• Preferred: Working knowledge of Coding and Payment Classification Systems, i.e. ICD-10, HCPCs, CPT, OPPS, IPPS, MPFS
• Preferred: Three (3) years of experience in ChargeMaster role
• Preferred: Coding Certificate; Certified Provider Credentialing Specialist (CPCS)

Essential Job Functions:

• Assists leadership with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and hospital requirements
• Assists in the accurate development and submission of claims to support reimbursement, including timely filing requirements in collaboration with the RI Manager and other departments as directed
• Assists RI Manager in developing and monitoring key performance indicators, i.e., specific candidate for billing, revenue guardian edits, charge-related edits, accounts receivable days, and applicable WQs
• Assist RI Manager in report generation and analysis to identify root causes and develops solutions for issues identified.
• Assists RI Manager on accurate and timely CDM updates as required by annual CPT and BH budget requirements, i.e., price increase in collaboration with IT
• Assisted the RI Manager with the Revenue Reconciliation program for BH and was a member of the Revenue Reconciliation Committee.
• Assists staff in any data analysis projects or ad-hoc projects as directed by RI Manager
• Assists in internal quality monitoring programs of the CDM, including external reviews and internal monitoring, including the implementation of opportunities identified, as directed by the Manager of RI.
• Ensures requests to make changes or updates to the CDM are done accurately and timely
• Ensures payer enrollment is accurate and timely to avoid gaps in payer enrollment, i.e., facility and individual provider enrollment
• Leads, teaches, inspires, helps, and consistently demonstrates hospital behavioral standards.

Knowledge, Skills, and Abilities

• Strong leadership managerial skills; ability to plan, delegate, train, monitor and improve work performance
• Demonstrates ability to lead to and motivate staff
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Familiar with business and medical terminology, billing codes, and coding systems (ICD-10, HCPCS, CPT)
• Strong interpersonal, organizational, multi-tasking, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality

• Detail oriented, organizational skills and the ability to prioritize
• Standard office equipment and computer applications; MS Office, internet applications and proficient in Epic.
• Ability to work varied shifts

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Position Summary: 

The Hospital / Professional Insurance Billing Supervisor is responsible for assisting with planning, directing, organizing, monitoring and staffing departmental services subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the hospital executive team in collaboration with the Patient Financial Services (PFS) manager. Oversees and coordinates the insurance billing function for Bozeman Health and all related entities, to include insurance follow-up related to no response, returned claims, denied claims, or claim edits preventing claim submission. Supports billing staff in maintaining team discipline to support the accurate and timely claims development and submission to payers to maximize reimbursement for the system. Conducts training and education for all billing functions to prevent and mitigate returned claims or claims denied due to lack of timely response or timely filing requirements.  Collaborate and coordinate with other Revenue Cycle functions or departments to resolve discharged not billed (DNB) or claim edits that are preventing timely claim submission.  Monitor denials, returned claims, claim edits, and payer claim processing behavior to assist with identifying systemic issues that may require process improvement to strengthen the health of the Revenue Cycle as well escalating identified concerns to the PFS manager.   

Minimum Qualifications:

• Associate's degree in Business or Accounting; an equivalent combination of education and experience will be considered
• Three (3) years of experience in a medical billings and claims
• Three (3) years of supervisory experience
• Prior experience with Epic billing

• Prior experience in healthcare administration, revenue cycle, or accounts receivable management
• Knowledge of electronic healthcare payment transactions
• Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing
• Preferred: Bachelor’s degree in business or related field

Essential Job Functions:

• Assists department leadership with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and hospital requirements
• Ensures a collaborative departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization
• Coordinates and oversees the organization-wide departmental services.  Continuously assesses, measures and improves departmental performance utilizing key performance indicators. Helps plan initiatives to increase performance as needed
• Demonstrates responsible management of all departmental resources
• Monitors quality and productivity levels for all billing staff members
• Manages WQ assignments in Epic and ensures accounts are not left unworked
• Demonstrates clinical/technical and supervisor competency.  Ensures staff professional needs are met
• Leads, teaches, inspires, helps and consistently demonstrates hospital behavioral standards
• Analyzes data and prepares reports on performance as required or requested
• Reviews denial and underpayment trends in collaboration with PFS Manager, Contract Specialist, and Compliance as appropriate and follow up staff to develop improvement initiatives; communicated with payers to resolve issues and foster working relationships
• Identifies payer trends and communicates with PFS Manager for escalation
• Ensures timely billing and proactively investigates and addresses potential billing process inefficiencies
• Approves appropriate account adjustments within identified thresholds and ensures PFS Manager is aware of trends in adjustment spaces (timely filing etc.)
• Oversees recruiting, hiring, and training practices; monitors and provides performance evaluations for billing staff
• Works with external resources as appropriate and brings issues that arise to the PFS Manager

Knowledge, Skills and Abilities

• Strong leadership managerial skills; ability to plan, delegate, train, monitor and improve work performance
• Demonstrates ability to lead to and motivate staff
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Familiar with business and medical terminology, billing codes, and coding systems (ICD-10, HCPCS, CPT)
• Strong interpersonal, organizational, multi-tasking, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality

• Detail oriented, organizational skills and the ability to prioritize
• Standard office equipment and computer applications; MS Office, internet applications and proficient in Epic.
• Ability to work varied shifts

Approved Remote States

1.     Arizona

2.      Florida

3.      Georgia

4.      Idaho

5.      Indiana

6.      Iowa

7.      Maine

8.      Michigan

9.      South Dakota

10.   Texas

11.   South Carolina

12.  North Dakota

13.   Wisconsin

14.   Tennessee

Job Summary:

The Payment Supervisor is responsible for the oversight and supervision of all patient payment posting functions within the Revenue Cycle and assists the payment analyst with planning, directing, organizing, monitoring, and staffing the payment functions subject to policies, budgets, objectives, and directives mandated by regulatory agencies, DNV, NV and the executive team. Supports the payment analysts in maintaining team discipline for all elements of established standard processes (work management, tools, team briefings, metrics tracking, and prompt resolution of issues, problems, and opportunities). It is the expectation that the payment supervisor work in collaboration with the leaders of the revenue cycle and finance as needed.

Minimum Qualifications:

•  Associate's degree in Business or Accounting; an equivalent combination of education and experience will be considered.

• Three (3) years of supervisory experience.
• Three (3) years of experience processing electronic payment transactions.
•  Prior experience with Epic.

• Preferred: Bachelor’s degree in business administration, accounting, or information technology.
• Preferred: Three (3) years of experience in healthcare billing, payments, or cash-handling functions.

• Preferred: Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing.

Essential Job Functions:

• Responsible for the accurate and timely payment posting and resolution of credit balances to include the review of all patient payment activities from insurance companies, government payers, and patients. 
• Oversees and directs the overpayment and credit balance process to include zero payments, provider level balancing (PBLs), and adjustments as needed. 
• Directs and coordinates the payment functions of Patient Financial Services (PFS), including the development and implementation of workflows to provide for the most efficient processes in the payment functions.
• Researches payment-related issues and escalate concerns to the PFS Manager.
• Supervises daily activities of payment posting functions, including but not limited to developing workflows for prioritizing work activities, evaluating effectiveness, and modifying activities and work assignments as necessary.
• Ensures accuracy in payment posting, PLBs, zero pays automatic adjustments, and account overpayments are completed timely.
• Maintains and revises internal cash collections and posting tracking tools and ensures accuracy in collaboration with the finance department
• Works in collaboration with IT and vendors to ensure files received for posting purposes are transmitted accurately and timely
• Allocates daily work based on resources available and ensures cross-coverage when necessary.
• Enroll payers in electronic remittances and electronic funds transfer, including new enrollments and updating enrollment information.
• Develop reports/dashboards to summarize payment trends to the applicable committees, work groups, and department leaders.
• Maintain knowledge and acts as the subject matter expert for of State and Federal Regulations including, Medicare Conditions of Participation, Medicare Billing and Reimbursement regulations, Commercial payor billing rules, No Surprises Act, Pricing Transparency, and Bozeman Health Payer Contracts.
• Monitor PFS payment key performance indicators, i.e. accounts receivable days, undistributed payments, credit balances, and unposted payments.
• Quarterly submission of accurate and timely regulatory reporting
• Attention to detail is a must when analyzing payments and adjustments to ensure appropriate actions have been completed on patient balances.
• Leads, teaches, inspires, helps, and consistently demonstrates organizational behavioral standards.

Knowledge, Skills, and Abilities

• Strong leadership managerial skills; ability to plan, delegate, train, monitor and improve work performance
• Demonstrates ability to lead to and motivate staff
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Strong interpersonal, organizational, multi-tasking, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality

• Detail oriented, organizational skills and the ability to prioritize
• Standard office equipment and computer applications; MS Office, internet applications and proficient in Epic.
• Ability to work varied shifts

Position Summary: 

The Project Management Lead is responsible for successful intake, screening, scoping and tracking of enterprise projects that support strategy implementation and operational effectiveness. Collaborates with leaders and other project managers across the organization to facilitate prioritization, alignment and scheduling of projects. Supports and advises operational leaders serving as project managers and works to increase project management competencies across Bozeman Health. Responsible for successful planning, implementation and completion of some key strategic projects, ensuring accomplishment of business needs and delivery of projects on time and within budget. Provides the Executive Team and other leaders with consistent, timely reports on aggregate project status.

Minimum Qualifications:

• Bachelor’s Degree in business, project management, healthcare management or related
• Project Manager Professional (PMP) Certification
• 3-5 years of project management experience
• Experience driving major change efforts through a complex organization

Essential Job Functions:

• Evaluates project requests and facilitates additional analyses as needed. Works with project requestors to develop project charters to clarify objectives, scope, benefits and deliverables and to determine timeframe, funding limitations, procedures for accomplishing project, staffing requirements and allotment of available business segment resources to various phases of project.
• Supports and facilitates the Project Scoping Committee to align, prioritize, schedule and monitor progress of key enterprise-wide projects and make recommendations to the Executive Team when re-prioritization of projects is needed.
• Communicates with project requestors and leaders to inform them of prioritization and approval decisions.
• Serves as liaison to other project managers to ensure alignment, collaboration and stewardship of Bozeman Health resources.
• Provides leadership and is accountable for the successful completion and results of key assigned strategic projects. 
• Develops, maintains and provides training on project management tools to support project implementation across Bozeman Health.
• Confers with project participants to provide technical advice and to manage identification and problem resolution. 

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
• Works varied shifts as scheduled and/or needed

Position Summary: 

The Registrar gathers patients demographics, verify insurance, and reason for visit information and prepares patient for service for hospital and clinic visits. Answers multi-line phone, directs calls, and pages to direct departments and emergency pages according to hospital protocol.

Minimum Qualifications:

• High School Diploma or Equivalent
• Preferred: Experience in healthcare front office
• Preferred: Clerical and/or Receptionist experience

Essential Job Functions:

• Greet patients
• Complete registration and admissions to hospital and schedules appointments accordingly
• Update and maintain the doctor on call list
• Handle incoming calls in timely manner and routes calls accordingly
• Handles calls for Physicians according to hospital protocol
• Cross-functional training across department
• Edits daily registration of all patients in assigned work queues

Knowledge, Skills and Abilities

• Ability to work in a busy and stressful environment
• Computer applications, MS Office, EMR, internet applications and standard office equipment
• Ability to work varied shifts
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Exercises tact, discretion, sensitivity and maintains confidentiality
•  Strong emotional intelligence, interpersonal and teamwork skills