Billing Clerk

KETCHIKAN INDIAN CORPORATION•Ketchikan, AK

12h•Onsite

About The Position

The incumbent is responsible for the accurate and timely preparation and submission of claims to third-party carriers and intermediaries, requiring interaction with other departments and outside agencies. The role also involves performing other related duties as assigned.

Requirements

Knowledge of medical terminology, ICD-10CM Coding CPT, CDT and HCPC’s Code Set.
Knowledge of Indian Health Service medical billing and benefits.
Knowledge of Pharmacy, Behavioral Health, Dental, Lab, and Medical Claims.
Strong understanding and sensitivity to American Indian/Alaska Native (AI/AN) Tribal culture and lifestyle, working effectively with AI/AN populations.
Effective oral and written communication skills with sensitivity to the lifestyles of targeted participants.
Skills in operating personal computers using a variety of computer software.
Ability to establish and maintain cooperative working relationships with management, coworkers, and outside contacts.
Ability to maintain strict confidentiality and comply with all applicable federal and tribal privacy laws and KIC policy (HIPAA, HITECH, ect.)
Ability to learn and apply program/agency operating policies and procedures.
Ability to manage multiple priorities and tasks concurrently and meet deadlines.
Ability to work independently as well as with teams.
Highschool Diploma or Equivalent.
One year work experience in medical office environment.
May be required to possess and maintain a valid driver's license or capable of obtaining one, as well as be insurable by KIC’s company insurance.

Nice To Haves

Training or experience in Accounting, Medical Terminology, CPT and ICD 10 CM.
Experience as a billing clerk working in an EHR.
Experience in a community clinic preferred and a strong commitment to multi-disciplinary teamwork.

Responsibilities

Identifies, collects, and tracks pertinent information on those patients with third-party coverage.
Examines patient bills for accuracy and requests any missing information.
Completes in correct format and submits appropriate document billing form using pre-determined rates for those patients with alternate resource coverage to appropriate third-party insurance carries.
Prepares and submits insurance claims to all third-party payers for all patients who receive care at the KIC Tribal Health Clinic (KICTHC).
Assures follow-up on all outstanding reimbursable insurance bills with insurance companies to assure maximum collection on each bill from third-party health plan carriers.
Serves as liaison between the KIC Clinics, patient and other healthcare providers in the collections of alternate resource information.
Posts the accounts receivables and explanation of benefits into the billing package received from all insurance carriers.
Cross trains other incumbents in the department to related functions of this position in order for them to provide backup coverage.
Receives cross training in other department positions, related duties, providing backup coverage during absence of other positions and to provide breaks daily.
Other related duties as assigned.