Certified Billing Specialist

Austin Community College; Nespelem (WA); On-site; USD 33,888 - 37,029; Full time

Job summary

A health service provider is seeking a detail-oriented individual responsible for accurate medical billing and claim submissions. The position requires an Associate’s degree and certification in medical billing and coding, along with strong knowledge of medical billing practices and coding systems. Candidates must communicate effectively with clients and work in a dynamic environment. Training will be conducted in Nespelem, WA. Preference is given to tribal members and honorably discharged veterans.

Qualifications

• Associate’s degree and Certificate in Medical Billing and Coding required.
• Must maintain professional certifications during employment.
• Requires a valid driver’s license.

Responsibilities

• Prepare and submit claims to third party payers.
• Communicate with clients regarding insurance questions.
• Review and revise denials for resubmission.

Skills

Knowledge of medical billing practices

Knowledge of accounting data entry methods

Proficiency with ICD-10, CPT, HCPCS

Strong computer skills

Effective communication skills

Problem-solving skills

Detail-oriented

Ability to meet deadlines

Education

Associate’s degree AND Certificate in Medical Billing and Coding

Job description

Overview

CLOSING DATE: Open Until filled with bi-weekly reviews

SALARY: $24.60 to $26.88, per hour DOE

LOCATION: Nespelem Health Center, 6 months training in Nespelem, WA; possibility of working in other districts upon completion of training.

Responsibilities

Basic Functions: This is a Non-Exempt position. 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 with them 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:

• The position typically requires an Associate’s degree AND Certificate from Medical Billing and Coding course of one year or longer (Transcript Required with Application) with coursework in bookkeeping or accounting and computer-aided applications, and/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 the duration of employment.
• Requires a valid driver’s license and be eligible for the Tribes’ vehicle insurance and maintain throughout employment.

Knowledge, Skills, and Abilities:

• Requires working knowledge of the practices and terminology of medical billing, and accounting data entry practices, and methods for maintaining source documentation files.
• Requires Working knowledge of medical billing code sets including ICD-10, CPT and HCPCS.
• Requires knowledge of the scope of medical codes used by the Tribe.
• Requires well-developed computer skills, sufficient to use common office productivity software, specialized software for revenue cycle, spreadsheets, and databases.
• Requires sufficient writing skills to prepare basic business correspondence, pre-formatted reports, and account footnotes.
• Requires sufficient math skills to compute sums, quotients, products, ratios, percent’s, and portions.
• Requires sufficient human relation skills to convey procedural information to others, train staff, and to deal effectively and positively with others on financial transactions.
• Requires knowledge of current Third Party billing regulations, policies and procedures including the use of modifiers.
• Requires work experience demonstrating the ability to multitask and follow through to completion.
• Requires work experience demonstrating the ability to meet strict deadlines while maintaining data integrity.
• Requires work experience involving strict confidentiality requirements.
• Requires the ability to learn or current working knowledge of Tribal reimbursement standards.
• Requires the ability to be detail oriented.
• Requires the ability to communicate effectively both verbally and in writing.
• Requires the ability to interact cooperatively and professionally with others.
• Requires the ability to analyze and effectively solve problems.
• Requires the ability to maintain a complete set of records and reports consistent with defined requirements.
• Requires the ability to interact with a wide range of contacts with courtesy and patience.
• Requires the ability to maintain the confidentiality of customer records and information.
• Requires the ability to perform all of the clerical and record keeping duties of the position including operation of computer software programs designed for medical billing customer-focused revenue cycle.
• Requires the ability to work as contributing member of a team, work productively and cooperatively with other teams and external customers, and convey a positive image of the Tribe and its services.
• Requires the ability to work collaboratively with difficult customers.
• Requires the ability to function primarily indoors in an office environment engaged in work of primarily a sedentary nature.
• Requires ambulatory ability to retrieve files and stand at a counter for customer service transactions.
• 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 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. Must be able to demonstrate above average work attendance and work ethic.

Special Conditions

• Must have no history of substance abuse of a period of two (2) years prior to time of employment.
• Must refrain from the use of illicit substances or prescription medications not prescribed by a health care provider during the term of employment.

Note: Pursuant to Tribal Policy, if this position is safety sensitive it is subject to pre-employment drug testing. In addition, this position is subject to reasonable suspicion and post-accident drug testing.

TRIBAL MEMBER AND INDIAN PREFERENCE WILL APPLY; PREFERENCE WILL ALSO BE GIVEN TO HONORABLY DISCHARGED VETERANS WHO ARE MINIMALLY QUALIFIED.

If required of this position, you must possess and maintain a valid Washington State driver’s license and be eligible for the Tribes’ Vehicle Insurance. In addition, this position may be subject to pre-employment background clearances. If applicable, these clearances must be maintained throughout employment.

INFORMATION: Tanya Ives, HR Technician Senior, Confederated Tribes of the Colville Reservation, Human Resources Office, P.O. Box 150, Nespelem, WA 99155, [phone]. [e-mail]