LRCHC Billing Specialist Trainee (BV46936)

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION

6d•$21 - $21•Onsite

About The Position

The Billing Specialist Trainee for the Colville Tribal Healthcare Authority is responsible for the accurate and timely preparation, submission, and follow-up of medical claims to insurance carriers, including Medicaid, Medicare, and third-party payers. This position ensures proper reimbursement for services rendered and maintains compliance with applicable regulations and payer requirements. The Billing Specialist Trainee will perform their job duties in a professional manner while assuring that all patient billing needs are handled with accuracy, confidentiality, and a pleasant demeanor.

Requirements

High School Diploma, GED, or equivalent is required.
Must be willing to obtain a Certified Professional Coder (CPC) certificate or Certified Professional Biller (CPB) from the American Academy of Professional Coders (AAPC) within 36 months of hire and maintain certification throughout employment.
Must be willing to learn medical billing procedures, insurance processes, and payer requirements (Medicare, Medicaid, and commercial insurance).
Must become familiar with ICD-10, CPT, and HCPCS coding systems.
HIPAA Certificate within initial 90 days of employment.
Ability to understand, speak, communicate, and read the English language.
Strong attention to detail and a high degree of accuracy.
Excellent organizational and time-management skills, with the ability to manage a high volume of claims.
Requires ability to utilize a multi-line telephone with good telephone etiquette.
Proficiency in MS Office (Word, Excel, Outlook, PowerPoint) and willing to learn electronic health record (EHR) systems.
Ability to handle sensitive information with discretion and maintain confidentiality.
Well-developed human relation skills to convey technical concepts to others.
Ability to communicate technical information and to interact with a wide variety of groups and individuals inside and outside the organization.
Ability to plan, organize, and prioritize work processes in a high-volume environment in order to meet schedules and timelines.
Ability to analyze data from multiple information sources to identify discrepancies and trends.
Ability to communicate professionally in written, verbal, and non-verbal formats while maintaining a friendly tone.
Ability to take initiative and be proactive in the duties of the position to meet deadlines and organizational goals.
Ability to sit and stand for long periods of time.
Manual and finger dexterity to complete duties.
Ability to frequently bend, stoop, and reach.
Ability to push and pull frequently.
Sufficient visual acuity to write, recognize printed materials, computer screen, and notice non-verbal behavior.
Speech and hearing ability to project voice to small and large audiences, carry on telephone, conversations, hear and grasp verbal communications and equipment prompts.

Responsibilities

Prepare, review, and submit accurate claims to insurance companies, including electronic and paper submissions.
Verify patient insurance eligibility, benefits, and authorization requirements prior to claim submission.
Ensure proper coding of diagnoses and procedures using ICD-10, CPT, and HCPCS codes.
Review claims for completeness, accuracy, and compliance with payer guidelines and correct any errors prior to submission.
Monitor claim status and follow up on unpaid, denied, or rejected claims in a timely manner.
Research and resolve billing discrepancies, denials, and underpayments, including appeals when necessary.
Post payments, adjustments, and denials accurately into the billing system.
Reconcile daily billing transactions and maintain accurate financial records.
Communicate with insurance companies, patients, and internal staff to resolve billing issues and inquiries.
Maintain up-to-date knowledge of billing regulations, payer requirements, and reimbursement guidelines.
Assist patients with billing questions, payment arrangements, and financial policies as needed.
Generate billing reports and assist with month-end and year-end processes.
Assist with audits by preparing and providing requested billing documentation.
Maintain confidentiality of patient and financial information in compliance with HIPAA regulations.
Work collaboratively with clinical and administrative staff to ensure accurate and efficient billing processes.
Complies and ensures compliance with applicable legislation, funding and organizational requirements, policies and procedures.
Performs other duties as assigned.