Find & Apply For Medical Biller Jobs in Libby, Montana

at Cabinet Peaks Medical Center in Libby, Montana, United States Job Description Cabinet Peaks Medical Center is looking for a Payor Credentialist to join the The Payor Credentialist is responsible for facilitating the enrollment of all healthcare providers with commercial and government insurance networks (payers). This position ensures that all physicians, mid-level providers, and clinical staff are fully credentialed, contracted, and active within the required networks to guarantee seamless billing operations and uninterrupted revenue cycle performance. Additionally maintaining up to date charge description master items. Performing account review and resolving credit balance accounts. Major Job Duties & Responsibilities Prepare, submit, and track complex initial and recredentialing applications for both government (Medicare, Medicaid) and commercial insurance plans. Update and maintain provider profiles on centralized industry databases, including the CAQH ProView portal, PECOS , and NPPES ( NPI registry). Authenticate all clinical provider credentials, including state medical licenses, DEA certificates, board certifications, educational background, and malpractice insurance coverage. Proactively track and monitor expiration dates for all medical licenses, certifications, and insurance policies to ensure zero gaps in provider network participation. Actively follow up with insurance payers on pending applications, successfully troubleshooting delays, credentialing denials, or network alignment issues. Partner closely with the medical billing team to research and resolve credentialing-related claim denials or billing holds. Enter and update all provider data within internal electronic medical records ( EMR ) or dedicated credentialing software systems to ensure enterprise-wide accuracy. Process charge rejection in the current EMR software, this includes contacting departments and resolving outstanding charge entry items. Updating the CDM with new codes, price increases/decreases, as approved through Fin Thrive and administration request. Reviewing and updating Anesthesia waste Works and actively collects on Client aging. Developing a strong working relationship with the clients, the

CPMC OHS

department. Participates in necessary meetings related to credentialing, client/ OHS billing, and CDM items across the revenue cycle and facility. Maintains a professional "team player" attitude in all communications. Reviews accounts with current credit balances and resolves the balance issuing a refun To view full details and how to apply, please login or create a Job Seeker account