Billing Specialist

• Coordinates and facilitates patient billing and collection activities
• Processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications
• Researches payments, denials, and accounts
• Builds strong working relationships with assigned business units

PFS Representative, CBO Billing, Follow-up, Denials Management

• Overseeing the daily operations of the billing and collections department
• Ensuring accurate and timely submission of claims and invoices
• Managing revenue cycle processes
• Leading a team to maximize collections
• Focusing on reducing claim denials and managing payments per payer contracts
• Optimizing cash collections in a high-volume setting
• Supervising billing and AR staff, assigning daily work, training new employees, and mentoring team members on billing techniques
• Developing and implementing policies, procedures, and best practices to improve billing efficiency and revenue integrity
• Monitoring AR aging reports to identify and resolve delinquent accounts, underpayments, and denials
• Managing the resolution of rejected claims, submits appeals for denied claims, and reconciling pharmacy payments
• Ensuring compliance with HIPAA, state/federal regulations, and payer contracts
• Generating and analyzing financial reports, tracking key performance metrics for pharmacy leadership
• Serving as a liaison between the pharmacy staff, finance department, and insurance payers regarding billing issues

Head of Billing and Collections

• Perform billing and accounts receivable functions by working collaboratively with Support Specialists, consulting staff, and other associates to support the enterprise’s initiatives.
• Assist with project management and train other associates.
• The Billing Operations Specialist is responsible for delivering timely and accurate client billing across the enterprise.
• This role supports accounts receivable, billing quality assurance, and invoice processing, while also providing secondary operational support for associates that may include, but is not limited to, travel and associate expense operations, scheduling, and client team support on various administrative client matters.
• Working closely with the Revenue Operations and Systems Manager, this position partners with Finance, HR, IT, consulting staff, and client teams to ensure billing accuracy, maintain policy compliance, and identify process improvements.
• The Specialist also contributes to documentation, training, and project management activities to enhance enterprise-wide financial operations.
• Conduct monthly billing QA reporting, including pre-bill adjustments, mark-ups, invoice consolidations, addition of value-added fees and data charges.
• Analyze client work in progress (WIP), prepare and format invoices, coordinate approvals and finalize or reinstate when needed.
• Work with consultants to modify invoice details, enter new clients and project codes, and maintain accuracy and compliance with contract specifications.
• Assist client teams with accurate capture and approval of billable time and expenses.
• Submit finalized invoices by auto e-bill or client-specific portals, ensuring write-offs are properly documented and approved.
• Monitor accounts receivable balances, aged receivables and WIP; resolve billing issues and client inquiries.
• Maintain accurate client billing information updating in coordination with associates and client teams.
• Serve as a subject matter expert on the enterprise’s billing process and related software.
• Continually identify and implement process improvements in billing, time tracking, and travel expense workflows in collaboration with Shared Services departments and business unit leaders.
• Process or serve as a backup for staff record updates (new hires, role changes, permissions) in coordination with HR.
• Help maintain system integrity and assist with upgrades, integrations, and administration of billing, timekeeping, and expense management platforms.
• Assist with project management activities in support of Finance and Operations initiatives, and support travel coordinators with expense submissions.
• Train associates and consulting staff on billing and expense procedures, systems, and best practices.
• Support administration of the organization’s T&E policy by reviewing and monitoring expense submissions and corporate card activity, ensuring compliance with IRS and internal guidelines, and escalating policy exceptions as needed.
• Contribute to internal communications, documentation, and knowledge sharing to ensure consistency across teams.
• Manage special projects, provide subject matter expertise, and train or mentor other billing support staff.
• Interact with department leaders, consultants, or other associates to troubleshoot complex issues.
• Reissue approved reinstated invoices when changes are required.
• Assist with creating and maintaining documentation of procedures regularly to ensure they are up to date and accurate.

Billing Operations Specialist

• Obtains insurance information from patients
• Counsels alternative ways for financial assistance
• Reviews schedule for new patients and makes updates when necessary
• Calls patients with appointment time reminders
• Processes internal physician referrals for clinical care
• Explains billing process to patients
• Assists with basic account maintenance activities
• Assists patients with insurance questions regarding the billing process
• Works with the Relatient patient reminder system results
• Makes daily edits and temporary changes to provider scheduling templates based on physician input
• Performs other duties as assigned

Billing/Scheduling Associate II – Obstetrics and Gynecology

• Prepare and submit professional claims
• Correct routine claim errors and rejections
• Work assigned billing and follow‑up queues in Epic
• Apply foundational knowledge of CPT, ICD‑10‑CM, modifiers, and payer rules
• Meet productivity, quality, and timeliness standards

Billing Specialist jobs in Montana

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PFS Representative, CBO Billing, Follow-up, Denials Management

Head of Billing and Collections

Billing Operations Specialist

Billing/Scheduling Associate II – Obstetrics and Gynecology

Professional Billing Specialist – Follow Up and Denials