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Bozeman Health

Revenue Cycle Denial Specialist

Bozeman Health

Revenue Cycle Denial Specialist analyzing and resolving post-billed denials for healthcare claims. Collaborating across departments to improve revenue cycle performance and prevent future denials.

Posted 6/26/2026full-timeRemote • Arizona, Florida, Idaho, Iowa, Missouri, North Carolina, South Carolina, South Dakota, Texas, Wisconsin • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact
  • Review, analyze, and resolve post-billed denials and rejections for hospital and professional claims
  • Prepare and manage appeals within required timelines
  • Collaborate across departments to reduce avoidable denials
  • Provide reporting and education to support system-wide revenue cycle performance
  • Support denial-related committees and task forces through reporting, analysis, and coordination
  • Manage audit requests, ensuring timely submission and tracking
  • Maintain knowledge of payer rules, state and federal regulations, and reimbursement requirements.

Requirements

What you’ll need
  • 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)
  • 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.

Benefits

Comp & perks
  • Regular and sustained attendance required
  • On-call work may be required
  • Education completion as assigned per DNV requirements, Bozeman Health policy, and registry requirements.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
ICD-10 codingCPT codingHCPCS codingrevenue cycle managementdata analysisreportingaudit managementdenial managementappeals managementpayer rules knowledge
Soft Skills
collaborationcommunicationproblem-solvingorganizational skillstime management
Certifications
Healthcare Business CertificationHFMA CRCRCertified Professional Coder