Revenue Cycle Technician

Kenaitze Indian Tribe•Kenai, AK

11d

About The Position

The Revenue Cycle Technician will be crossed trained to perform a variety of duties. Some of these duties will be understanding payer requirements; identifying payer issues accurately and develop a plan to resolve these issues; follow-up on outstanding balances and take necessary action to ensure timely resolution; read and understand an "Explanation of Benefits" (EOB), identify trends in billing and address concerns in order to expedite payment; work denials, credit balances, missing payments, payer recoupments, and unposted cash as it pertains to billing account follow-up.

Requirements

Associate degree preferred or a combination of education and experience in a related field may be substituted for a degree.
One year (1) of experience in Tribal Medical Billing, Federally Qualified Health Center (FQHC) Billing, or related work
Knowledge and experience working with cultural diversities
Must have a valid Alaska State driver's license and must remain insurable under the Tribe's policy , or obtain within 90 days of hire, or, with approval of the hiring manager, sign a Memorandum of Understanding (MOU) in lieu of having a driver's license to perform the required duties of the position
Proficiency with Microsoft Suite, or obtain training within 90 days of hire
Conducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers and others
Ability to multi-task, work independently, and meet deadlines
This position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA). ABCA and ICPA requirements apply and must be complied with at all times in order to remain in the position.
Memorandum of Understanding: Serves as documented evidence that the Kenaitze Indian Tribe has expressed the ineligibility of an employee to operate motor vehicles owned, leased or rented by the Kenaitze Indian Tribe, or to operate a personal vehicle on behalf of the Kenaitze Indian Tribe.

Nice To Haves

AAPC, Certified Professional Coder& Biller (CPC, CPB, COC), Certified Revenue Cycle Specialist (CRCS), Certified Revenue Cycle Specialist (CRCP), Certified Revenue Integrity Professional (CRIP)

Responsibilities

Verification of appropriate Current Procedural Terminology (CPTs) and modifiers
Ensure the coordination of claim activities on various insurance portals and via phone to check claim status and resolve claim issues
Verifies insurance payment is in alignment with payer contract by reviewing the contract status log and EOB received
Research and resolve insurance denials
Identify reason for claim rejections and complete proper action to ensure timely billing
Supports leadership with daily, weekly monthly reporting needs as required and maintain third-party logs
Identifies, researches and resolves: credit balances, missing payments, payer recoupments, and unposted cash as it pertains to billing account follow-up
Processes and maintain correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment
Handles submission of issues to coding for review to ensure organizational and revenue cycle processes are followed
Communicates appropriately with insurance companies, patients, co-workers and supervisors
Ensures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinance
It is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.