CTHCA Billing Specialist (CS-50110)

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION • Inchelium, WA

2d • $23 - $28 • Onsite

About The Position

The Billing Specialist performs billing and claims processing functions to support timely and accurate reimbursement for healthcare services. The position ensures compliance with federal, state, tribal, and payer regulations while maintaining confidentiality and providing excellent customer service to internal and external stakeholders. The role is located at LRCHC in Inchelium, Washington, and reports to the Revenue Cycle Supervisor.

Requirements

• High school education level.
• Knowledge of medical terminology, anatomy and pathophysiology, medical and behavioral health services, provider specialties, and insurance terminology.
• Current knowledge of third-party billing regulations and ability to stay up to date with regulations.
• Knowledge of current changes in coding and billing requirements from Medicare, Medicaid, and other third-party payers.
• Working knowledge of medical claims processing practices, procedures, and terminology.
• Working knowledge of office clerical procedures and computer-aided office productivity software.
• Writing skills sufficient to prepare basic business correspondence.
• Math skills sufficient to compute totals, extensions, portions, ratios, quotients, and percentages.
• Human relations skills sufficient to convey policies and procedures and deal cooperatively with others on accounting transactions.
• Ability to perform the functions of the position and use approved coding tools to apply and review diagnostic and procedural coding.
• Ability to effectively operate a computer and office productivity, Revenue Cycle Management, and specialized accounting software, including database access.
• Ability to undertake multiple tasks and follow them through to completion.
• Ability to complete assigned workload accurately and dependably with minimal supervision.
• Ability to communicate effectively verbally and in writing, analyze information, and solve problems.
• Ability to perform accounting and general math computations quickly and accurately.
• Ability to maintain confidentiality and accurate records.
• Ability to work cooperatively and professionally with customers, staff, tribal government personnel, outside agencies, and vendors.
• If required for the position, possess and maintain a valid Washington State driver’s license and be eligible for the Tribes’ Vehicle Insurance.
• If applicable, maintain required pre-employment background clearances.

Responsibilities

• Perform billing and claims processing functions to support timely and accurate reimbursement for healthcare services.
• Ensure compliance with federal, state, tribal, and payer regulations.
• Apply and review diagnostic and procedural coding using approved coding tools, including current coding textbooks.
• Provide reports on assigned program accounts regarding unpaid balances, denials, adjustments, and provider activity quarterly or upon request.
• Research, compile, analyze, and interpret claims data.
• Maintain accurate and retrievable files, records, and audit trails, and trace transactions to original entries.
• Organize and prioritize work to meet deadlines and timetables.
• Provide customer service and work cooperatively and professionally with customers, staff, tribal government personnel, outside agency personnel, and vendors.
• Maintain strict confidentiality in compliance with HIPAA standards.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED