Collections Technician (46623)

Dilkon Medical Center | Winslow Indian Health Care Career Page; Winslow (AZ); On-site; USD 42,000 - 56,000; Full time

Job summary

Dilkon Medical Center in Winslow, AZ is seeking a Billing and Collections Specialist to manage accounts, verify claims, and ensure timely remittance posting. You will apply ICD-10, CPT, and HCPCS codes and collaborate with payers to resolve denials.

The ideal candidate has at least one year of medical billing/collections, bilingual English and Navajo preferred, and a commitment to confidentiality and accuracy in a fast-paced healthcare office.

Qualifications

• High School or GED required.
• One year of Medical Billing and/or Collections experience.
• Bilingual English and Navajo language preferred.
• Must pass a background investigation and maintain suitable requirements for a Child Care position.
• This position is subject to the Indian Child Protection and Family Violence Prevention Act requirements.

Responsibilities

• Review patient accounts to determine status and prepare adjustments.
• Review remittance advice and denials; re-bill as needed.
• Verify claims posted through RPMS.
• Track productivity and report weekly metrics.
• Assign codes (ICD-10, CPT, HCPCS) for reimbursement.
• Maintain confidentiality and deliver patient-focused service.

Skills

Bilingual Navajo-English

Attention to detail

Customer service

Communication skills

Team player

Education

High School or GED

Tools

RPMS system

Accounts Receivable

Patient Registration

Outlook/Excel

Job description

Essential Duties & Responsibilities

• Maintains regular attendance and punctuality.
• Responsible for cross-training with all payers under Medical, Dental, and Workers Compensation/motor vehicle accident when needed.
• Reviews patient accounts to determine status; makes adjustments that require analysis, prepares and processes a variety of documents necessary for all outstanding accounts.
• Reviews remittance advice, explanation of benefits for denials and re-bill as needed.
• Verifies claims posted through RPMS.
• Reviews delinquent accounts following up with responsible parties via telephone and correspondence.
• Makes collection calls for all other resources following timely review of A/R aging.
• Tracks/Reports productivity weekly for reporting measures.
• Responsible for assigning proper codes, ICD-10, CPT, and HCPCS coding for reimbursement.
• Attends meetings related to Billing and Coding.
• Requires completion of tasks or duties assigned by a supervisor.
• Upholds all principles of confidentiality and patient care to the fullest extent.
• Adheres to all professional and ethical behavior standards of the healthcare industry.
• Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.
• Interacts in an honest, trustworthy, and dependable manner with patients, employees, visitors, and vendors.
• Possesses cultural awareness and sensitivity.
• Maintains compliance with all Human Resources requirements.
• Performs other duties as assigned.

Qualifications

• High School or GED required.
• One year of Medical Billing and/or Collections experience.
• Bilingual skills in English and Navajo language preferred.
• Must maintain a valid unrestricted and insurable driver’s license.
• Must successfully pass a background investigation and maintain suitable requirements for a Child Care position.
• This position is considered as a Child Care position, which requires a satisfactory background check investigation and is subject to the requirements of the Indian Child Protection and Family Violence Prevention Act, as amended (henceforth referred as the ICPFVP Act).

Knowledge, Skills, Ability

• Knowledge of applicable federal and state regulations.
• Knowledge of ICD-10 and CPT coding, which includes the ability to interpret and resolve problems.
• Knowledge of RPMS programs such as Third Party, Accounts Receivable, and Patient Registration.
• Knowledge of Medicaid, Medicare, Private Insurance and other Third Party Payers.
• Knowledge of strong work ethics in the workplace.
• Knowledge of the primary application of confidentiality.
• Knowledge of necessary computer skills, e.g., Outlook, Word, Excel, PowerPoint.
• Ability to comply with the Privacy Act of 1976 and the Health Insurance Portability Accountability Act of 1996.
• Ability to work under pressure of dealing with multiple tasks, reports, and constant deadlines, while maintaining an attention to detail and accuracy.
• Ability to be dependable in attendance and job performance.
• Ability to meet attendance, overtime (if necessary), and other reliability requirements of the job.
• Ability to accept and learn from feedback.
• Ability to communicate effectively both verbally and in writing.
• Ability to provide exemplary customer service at all times.
• Ability to interact positively with others and possess excellent interpersonal skills.
• Ability to multitask and perform well under pressure.
• Ability to have self-confidence.
• Ability to be a great team player.
• Ability to accept and learn from supervisor/peer critique.
• Ability to be flexible and adaptable to the changing needs of the organization.

Physical Demands

While performing the essential functions of this position, the employee is regularly required to walk, sit, use hands and fingers, handle, or feel objects and equipment, reach with hands and arms, and communicate effectively by talking and hearing. The employee frequently must stand, climb, balance, stoop, kneel, crouch, or crawl and may occasionally use taste or smell. The employee must occasionally lift and/or move objects weighing up to 50 pounds.

Work Environment

Work is performed in an office setting or outdoor work environment with moderate noise levels. Work environment may involve exposure to physical risks, such as blood borne pathogens, hazardous chemicals, or operating potential dangerous equipment, and requires adherence to all safety protocols. Required work schedules may include evening, weekend, overnight shifts, extended hours, or irregular schedules and rotation as operational needs dictate.

As required by P.L. 93-638, absolute preference will be given to qualified Navajo applicants. If there is no qualified Navajo applicant, preference will be given to qualified American Indian applicants.