Health Claims Biller II Non-Certified

Cherokee Nation • Tahlequah, OK

6d • Onsite

About The Position

Prepare and submit billing data for technical and professional, primary, and secondary medical claims to insurance companies. Follow up on unpaid, rejected, or denied claims. Resolve issues to resubmit claims in error. File appeals on denials when necessary. Correct patient insurance information as needed. Generate reports and process request for information. Report problems to appropriate department supervisor.

Requirements

• High School diploma or general education degree (GED); no exceptions.
• At least two (2) years experience in a related field.
• Knowledge of Accounting software; Database software; Internet software; Spreadsheet software; and Word Processing software.
• Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating.
• The employee must not be and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG's Cumulative Sanction Report, or the GSA's List of Excluded Providers, or listed on the OIG's List of Excluded Individuals/Entities (LEIE).
• Educated on and compliant with HIPAA regulations; maintain strict confidentiality of client information.

Responsibilities

• Prepare and submit billing data for technical and professional, primary, and secondary medical claims to insurance companies.
• Follow up on unpaid, rejected, or denied claims.
• Resolve issues to resubmit claims in error.
• File appeals on denials when necessary.
• Correct patient insurance information as needed.
• Generate reports and process request for information.
• Report problems to appropriate department supervisor.

What This Job Offers

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