Medical Billing & Coding Specialist

Tohono O'odham Nation; Tucson (AZ); On-site; USD 40,000 - 56,000; Full time

Job summary

Tohono O'odham Nation is seeking a medical billing specialist to examine, verify, and maintain data for processing third‑party claims and alternate resources reimbursement.

The role focuses on billing claims timely, ensuring accurate coding, and coordinating with providers to resolve discrepancies while adhering to HIPAA and regulatory guidelines. On-site work at TONHC facilities is expected.

Qualifications

• High School Diploma or GED required.
• Two years of work experience in medical billing, third-party billing, accounting, budget, financial management support, or equivalent.
• Typing 40 WPM required.
• Knowledge of CPT/HCPCS coding and HIPAA regulations preferred.

Responsibilities

• Process and bill third-party medical claims in a timely manner.
• Verify accuracy of CPT/HCPCS coding and patient data.
• Maintain logs and prepare reports on billing activity.
• Serve as a point of contact for claims processing questions.

Skills

Excellent communication

Typing 40 WPM

Multitasking

Education

High School Diploma or GED

Tools

RPMS

Job description

Tohono O'odham Nation is seeking a medical billing specialist to examine, verify, and maintain data for processing third‑party claims and alternate resources reimbursement.

The role focuses on billing claims timely, ensuring accurate coding, and coordinating with providers to resolve discrepancies while adhering to HIPAA and regulatory guidelines. On-site work at TONHC facilities is expected.