Medical Billing Specialist 2

Choctaw Nation of Oklahoma•Talihina, OK

4d•$21 - $22

About The Position

Full-time position | M-F, 8am-4:30pm or 7am-3:30pm | Start pay range $21-$22 per hour. Weekly earned wage access is an option for this position. Job Purpose or Objective(s): As a Medical Billing Specialist 2, y ou will maintain an advanced understanding of coding and billing. Compile and submit claims to insurance companies for third-party reimbursement. Follow up on denials. You will report to Medical Billing Management. Primary Tasks: Prepare and submit claims to payers either electronically or hard copy. Correct claims for re-submission in multiple systems. Ability to reach and maintain department productivity and quality goals. Use methods such as phone, e-mail, and regular mail to communicate with staff, patients, and insurance companies to resolve billing issues. Research overpayments, underpayments, payment denials due to rejections and reviews pending claims. Bill non-CDIB patients, verify payments and adjustments, and print monthly statements for the non-CDIB holders and Talihina Community Clinic. Follow up on denied claims to resolve issues before claims are processed untimely. Download batch files and post payments to accounts manually and electronically. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Perform other duties may be as assigned.

Requirements

Great understanding of insurance policies and procedures
Knowledge of HIPAA guidelines/regulations
Three [3] years’ related experience

Responsibilities

You will prepare and submit claims to payers either electronically or by paper
Correct claims for re-submission in multiple systems
Reach and maintain department productivity and quality goals
Use methods such as phone, email, and regular mail to communicate with staff, patients, and insurance companies to resolve billing issues.
You will research overpayments, underpayments, payment denials due to rejections and reviews pending claims.
Billing Non- CDIB patients would require verifying payments and adjustments, prints monthly statements for the non- CDIB holders and Talihina Community Clinic.
Work in multiple systems to follow up on denied claim to resolve issues before claims are processed untimely.
Download files to batch and post payment to accounts manually or electronically.
Maintain strictest confidentiality; follow all HIPAA guidelines
Perform other responsibilities may be as assigned