Medical Billing Specialist (SS-44150)

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION

11d•$22 - $27

About The Position

This is a Non-Exempt position. Performs clerical standard and procedures of the Medical Billing Office through direct contact with eligible programs using computer-aided data entry screens.

Requirements

Requires a High School Deploma or GED
Requires 12 months billing and coding experience with Anatomy and Pathophysiology training
Willing to obtain a Certified Professional Coder (CPC) certificate or Certified Professional Biller (CPB) certificate from the American Academy of Professional Coders (AAPC) within 36 months of hire and maintain certification throughout employment.
May require valid driver’s license and be eligible for the Tribes vehicle insurance and maintain throughout employment.
Requires knowledge of medical terminology, anatomy and pathophysiology, medical and behavioral health services, provider specialties, and insurance terminology.
Requires current knowledge of third party billing regulations and ability to stay up to date with regulations.
Requires the knowledge to maintain working knowledge of current changes in coding and billing requirements from Medicare, Medicaid, and other third-party payers.
Requires a working knowledge of the practices, procedures, and terminology of medical claims processing.
Requires a working knowledge of office clerical procedures and computer-aided office productivity software.
Requires sufficient writing skills to prepare basic business correspondence.
Requires sufficient math skills to compute totals, extensions, portions, ratios, quotients, and percentages.
Requires sufficient human relations skill to convey policies and procedures and to deal cooperatively with others on accounting transactions.
Requires the ability to perform the functions of the position.
Ability to work in an office setting engaged in work of a primarily sedentary nature.
Requires sufficient hand-eye-arm coordination to use a keyboard and 10-key, arm/hand movements to retrieve work materials from storage files, and operate a variety of general office equipment.
Requires the ability to use near vision to write and to read printed materials and computer screens.
Requires visual acuity to read computer screens, printed material, and detailed accounting information.
Requires auditory ability to carry on conversations over the phone and in person.
Requires ambulatory ability to sit, often for long periods of time, move about Tribal locations, and to reach work materials.
Requires ability to work remotely.

Responsibilities

Apply and review diagnostic and procedural coding utilizing approved coding tools including but not limited to current coding text books.
Effectively operate computer and software applications associated with office requirements as well as Revenue Cycle Management.
Undertake multiple tasks and follow through to completion.
Complete assigned workload in an accurate and dependable manner with minimum supervision.
Communicate effectively verbally as well as in writing.
Analyze and effectively solve problems.
Provide reports on assigned program account regarding unpaid balance, denials, adjustments, and provider activity quarterly, or upon request of Centralized Billing Supervisor, or program managers.
Maintain strict confidentiality in compliance with HIPAA standards.
Research, compile, analyze, and interpret claims data.
Maintain accurate and retrievable files, records, audit trails and trace transactions to original entries.
Perform accounting and general math computations quickly and accurately.
Organize and prioritize work to meet deadlines and timetables.
Work cooperatively and professionally with customers, staff, tribal government personnel and outside agency personnel and vendors.
Access and use a computer, common office productivity software, and specialized accounting software to access databases.