Medical Billing & Claims Specialist

Citizen Potawatomi Nation; Mission Hill (SD); Presencial; USD 17 000 - 32 000; Tempo integral

Resumo da oferta

Citizen Potawatomi Nation Health Services seeks a detail‑oriented Billing Clerk to support third‑party billing and payment follow‑up. You will input charges, file claims, and perform coding reviews to ensure accurate reimbursements.

This role requires medical terminology knowledge, at least two years in medical billing, and the ability to work under deadlines in a health facility office. Benefits are included with full‑time employment.

Qualificações

• High School Diploma or equivalent required.
• Experience with medical terminology, CPT, and ICD-9 codes.
• Two (2) years experience in third party billing and collections in a medical facility.

Responsabilidades

• Enters charges and procedures into the computer billing system and reviews diagnoses and links procedures with appropriate diagnoses.
• Prepares and submits third party claims to respective carriers on a weekly basis.
• Performs billing and A/R quality assurance duties as needed; audits documentation for appropriate E&M coding.
• Accurately codes and enters diagnoses and procedures in computer using ICD-9 and CPT codes.
• Reviews superbill forms for accuracy and returns forms to staff for correction.
• Ensures documentation supports diagnoses and procedures by reviewing random patient visits.
• Performs periodic quality assurance activities for coding.
• Assists in entering and maintaining current patient demographic and billing information.
• Assists with claim follow-up.
• Retrieves reports and statistical data from the RPMS-PCC program.

Conhecimentos

Typing

Organizational skills

Communication

Confidentiality

Formação académica

High School Diploma or equivalent

Ferramentas

RPMS

Descrição da oferta de emprego

Citizen Potawatomi Nation Health Services seeks a detail‑oriented Billing Clerk to support third‑party billing and payment follow‑up. You will input charges, file claims, and perform coding reviews to ensure accurate reimbursements.

This role requires medical terminology knowledge, at least two years in medical billing, and the ability to work under deadlines in a health facility office. Benefits are included with full‑time employment.