CTHCA Medical Billing Specialist

DaMar Staffing; Nespelem (WA); On-site; USD 32,000 - 39,000; Full time

Job summary

DaMar Staffing is hiring a CTHCA Medical Billing Specialist in Nespelem, WA. This 6‑month training program leads to a non-exempt billing role handling payer interactions and data entry.

The position requires high accuracy, knowledge of medical terminology and coding basics, and the ability to work in a team environment within the tribal health system.

Qualifications

• High School Diploma or GED required.
• At least 12 months billing and coding experience with anatomy and pathophysiology training.
• Willing to pursue CPC or CPB certification within 36 months of hire.
• Valid driver's license and eligibility for tribal vehicle insurance may be required.

Responsibilities

• Perform clerical and billing-related tasks using computer-aided data entry screens.
• Maintain HIPAA confidentiality and protect sensitive information.
• Prepare reports on unpaid balances, denials, adjustments, and provider activity as requested.

Skills

Medical terminology

Billing and coding

Writing skills

Math skills

Communication

HIPAA compliance

Analytical skills

Education

High School Diploma or GED

12 months billing and coding experience

Willing to obtain CPC/CPB within 36 months

Tools

Accounting software

Computer-aided data entry

Job description

CTHCA Medical Billing Specialist

Hot Job

Reservation Wide - WA

Overview

Salary Range $23.08 - $28.12 Hourly

Description

Closing Date: Open Until Filled with Bi-weekly Reviews

Position: CTHCA Medical Billing Specialist (2 Positions)

Salary: $23.08 to $28.12 per hour DOE

Reports To: Revenue Cycle Supervisor

Location: Nespelem Health Center, 6 Month Training in Nespelem, WA, with Possibility of Working in Other Districts Upon Completion of Training.

Basic Functions: 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.

Qualifications

Minimum Qualifications:

Education and Training:

• Requires a High School Diploma 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.

Knowledge, Skills, and Abilities:

• 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.
• Requires Ability to Apply and Review Diagnostic and Procedural Coding Utilizing Approved Coding Tools Including but Not Limited to Current Coding Text Books.
• Requires Ability to Effectively Operate Computer and Software Applications Associated with Office Requirements as Well as Revenue Cycle Management. Demonstrates the Ability to Undertake Multiple Tasks and Follow Through to Completion.
• Requires Ability to Complete Assigned Workload in an Accurate and Dependable Manner with Minimum Supervision.
• Requires Ability to Communicate Effectively Verbally as Well as in Writing. Requires Ability to Analyze and Effectively Solve Problems.
• Requires Ability to 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.
• Requires the Ability to Maintain Strict Confidentiality in Compliance with HIPAA Standards.
• Requires the Ability to Research, Compile, Analyze, and Interpret Claims Data.
• Requires the Ability to Maintain Accurate and Retrievable Files, Records, Audit Trails and Trace Transactions to Original Entries.
• Requires the Ability to Perform Accounting and General Math Computations Quickly and Accurately.
• Requires the Ability to Organize and Prioritize Work to Meet Deadlines and Timetables.
• Requires the Ability to Work Cooperatively and Professionally with Customers, Staff, Tribal Government Personnel and Outside Agency Personnel and Vendors.
• Requires the Ability to Access and Use a Computer, Common Office Productivity Software, and Specialized Accounting Software to Access Databases.
• 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.

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