Overview
Position : Certified Professional Coder
Location : Nespelem Health Clinic, Nespelem, WA
Salary : $23.63 - $29.50 hourly, DOE
Closing date : Open Until filled with Bi-weekly reviews
Reports to : Patient Financial Services Supervisor
Location : Nespelem Health Clinic, Nespelem, WA
Responsibilities
- 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 to ensure accurate insurance information is received.
- Reviews and revises denials for resubmission to recoup claims.
- Complete daily reports for insurance verification, claims submission, insurance billing and research.
Minimum Qualifications
Education and Training :
Typically requires an Associate's degree.Requires a certificate from a Medical Billing and Coding course of one year or longer (Transcript Required with Application) with coursework in bookkeeping or accounting and computer-aided applications.Or 2 years of work experience in medical billing involving Medicare, Medicaid and Third Party payers with FQHC, IHS or Tribal programs specifically related to Accounts receivable management; certification from a nationally recognized financial association such as HFMA, AAHAM, or AAPC and must maintain certification throughout employment.Requires a valid driver's license and eligibility for the Tribe's vehicle insurance and maintenance throughout employment.Knowledge, Skills, and Abilities :
Working knowledge of medical billing practices and accounting data entry, and maintaining source documentation.Working knowledge of medical billing code sets including ICD-10, CPT and HCPCS.Knowledge of the Tribe's medical codes scope.Strong computer skills to use office software, revenue cycle software, spreadsheets, and databases.Ability to write basic business correspondence, pre-formatted reports, and account footnotes.Mathematical ability to compute sums, quotients, products, ratios, percents, and portions.Strong communication skills, both verbal and written, with the ability to train staff and handle financial transactions professionally.Knowledge of current third-party billing regulations, policies and procedures including modifiers.Ability to multitask and meet strict deadlines while maintaining data integrity.Ability to maintain confidentiality of information and work with Tribal reimbursement standards.Detail-oriented with the ability to analyze and solve problems.Ability to interact with a wide range of contacts with courtesy and patience; maintain confidentiality of customer records.Ability to perform clerical and record-keeping duties using medical billing software and revenue cycle tools.Ability to work as part of a team and cooperate with other teams and external customers, presenting a positive image of the Tribe and its services.Ability to work indoors in an office environment with primarily sedentary work; ability to retrieve files and assist customers at a counter; manual dexterity for keyboard, 10-key, and general office equipment use; visual and auditory abilities for communication and data interpretation.Commitment to above-average attendance and work ethic; ability to work with difficult customers.Other :
Note : Pursuant to Tribal Policy, if this position is safety sensitive it is subject to pre-employment drug testing. It is also subject to reasonable suspicion and post-accident drug testing. Tribal member and Indian preference apply; preference to honorably discharged veterans who are minimally qualified.
If required, you must possess and maintain a valid Washington State driver's license and be eligible for the Tribe's Vehicle Insurance. This position may be subject to pre-employment background clearances and these clearances must be maintained throughout employment.
Information contact : Tanya Ives, HR Technician Senior, Confederated Tribes of the Colville Reservation, Human Resources Office, P.O. Box 150, Nespelem, WA 99155, (509) 634-2201. Email : tanya.ives.hrs@colvilletribes.com
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