Insurance Consultant Jobs in Montana

This is an on-site position in Bozeman, MT.

Position Summary:

The 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 administrative team in collaboration with the Patient Financial Services (PFS) manager. This role oversees and coordinates the insurance billing function for Bozeman Health and all related entities, including claims submission, follow-up, and denial management. The supervisor supports staff in maintaining accuracy and timeliness in claims processing to maximize reimbursement. Additional responsibilities include developing and implementing quality assurance initiatives, monitoring compliance with payer and policy requirements, conducting regular audits, and analyzing performance metrics. The supervisor also partners with Revenue Cycle leadership on training and process improvement initiatives while ensuring effective communication across departments to resolve systemic billing issues.

Qualifications

Required:

• Associate’s degree in Business, Accounting, or related field; or equivalent combination of education and experience.
• Three (3) years of experience in medical billing and claims.
• One (1) year of supervisory experience.
• Knowledge of electronic healthcare payment transactions.
• Prior experience in healthcare administration, revenue cycle, or accounts receivable management.
• 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.
• Prior experience with Epic billing systems.

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.

• 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.
• 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 hospital behavioral standards.
• Oversees billing team productivity and quality, including monitoring Epic work queues to ensure timely and accurate claim follow-up and resolution.
• Develops and leads the QA program in collaboration with the System Manager, incorporating productivity tracking, regular audits, and performance reporting.
• Conducts data analysis and prepares performance reports, identifying trends in billing, denials, and underpayments to inform process improvements.
• Collaborates with the PFS Manager, Contract Specialist, and Compliance team to address denial trends and payer issues, and escalates concerns as needed.
• Ensures compliance with payer regulations and internal policies through continuous oversight and quality monitoring.
• Approves account adjustments within defined thresholds and escalates recurring issues or trends to leadership.
• Leads recruiting, onboarding, and performance evaluations for billing staff and supports professional development through coaching and feedback.
• Drives training initiatives and operational enhancements, partnering with Revenue Cycle leadership and external resources to implement system-wide improvements.

Knowledge, Skills and Abilities

• Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance.
• 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 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.

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.