Certified Billing Specialist (SS-44936)

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION • Coulee City, WA

13d • $24 - $27 • Onsite

About The Position

Basic Functions: Non-Exempt. Responsible for the accurate preparation and submission of claims to third party payers. Responsible for the accurate and timely performance of medical billing functions. Communicates with clients and Providers regarding insurance questions; partnering with them to ensure accurate insurance information is received. Reviews and revise denials for resubmission to recoup claims. Complete daily reports for insurance verification, claims submission, insurance billing and research.

Requirements

• High School Diploma or equivalent and 24 months’ experience in a related field.
• Requires to have certification from a nationally recognized financial Association such as HFMA, AAHAM, or AAPC and MUST maintain certification throughout the duration of employment.
• Requires working knowledge of the practices and terminology of, medical billing, and accounting data entry practices, and methods for maintaining source documentation files.
• Requires Working knowledge of medical billing code sets including ICD-10, CPT and HCPCS.
• Requires knowledge of the scope of medical codes used by the Tribe.
• Requires well-developed computer skills, sufficient to use common office productivity software, specialized software for revenue cycle, spreadsheets, and databases.
• Requires sufficient writing skills to prepare basic business correspondence, pre-formatted reports, and account footnotes.
• Requires sufficient math skills to compute sums, quotients, products, ratios, percent’s, and portions.
• Requires sufficient human relation skills to convey procedural information to others, train staff, and to deal effectively and positively with others on financial transactions.
• Requires knowledge of current Third Party billing regulations, policies and procedures including the use of modifiers.
• Requires work experience demonstrating the ability to multitask and follow through to completion.
• Requires work experience demonstrating the ability to meet strict deadlines while maintaining data integrity.
• Requires work experience involving strict confidentiality requirements.
• Requires the ability to learn or current working knowledge of Tribal reimbursement standards.
• Requires the ability to be detail oriented.
• Requires the ability to communicate effectively both verbally and in writing.
• Requires the ability to interact cooperatively and professionally with others.
• Requires the ability to analyze and effectively solve problems.
• Requires the ability to maintain a complete set of records and reports consistent with defined requirements.
• Requires the ability to interact with a wide range of contacts with courtesy and patience.
• Requires the ability to maintain the confidentiality of customer records and information.
• Requires the ability to perform all of the clerical and record keeping duties of the position including operation of computer software programs designed for medical billing customer-focused revenue cycle.
• Requires the ability to work as contributing member of a team, work productively and cooperatively with other teams and external customers, and convey a positive image of the Tribe and its services.
• Requires the ability to work collaboratively with difficult customers.

Responsibilities

• Accurate preparation and submission of claims to third party payers.
• Accurate and timely performance of medical billing functions.
• Communicates with clients and Providers regarding insurance questions; partnering with them to ensure accurate insurance information is received.
• Reviews and revise denials for resubmission to recoup claims.
• Complete daily reports for insurance verification, claims submission, insurance billing and research.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees