Medical Billing & Coding Specialist (Third-Party Claims)

Tohono O'odham Nation; Tucson (AZ); On-site; USD 25,000 - 39,000; Full time

Job summary

The Tohono O'odham Nation is seeking a Medical Billing Specialist to process alternate resources claims and ensure timely reimbursement. Under general supervision, you will verify documentation, code medical services, and work with third-party payers across TONHC facilities in Arizona.

Relocation to TONHC facilities may be required, and the role emphasizes accuracy, compliance with AMA/HCFA coding guidelines, and timely submission of claims to insurers.

Qualifications

• High School Diploma or GED.
• Two years of work experience in medical billing, third-party billing, accounting, or related financial support.
• Typing speed of 40 WPM.
• Ability to comply with background checks and licensure requirements.
• Must be able to relocate to TONHC facilities as needed.

Responsibilities

• Bill/process medical care claims for alternate resources reimbursement.
• Review and ensure accuracy and completeness of medical claims.
• Submit claims to third-party payers within required timeframes.
• Maintain records and logs for claims and insurer interactions.
• Serve as liaison for questions on claims processing and coding.
• Assist with CPT/HCPCS coding and documentation audits.

Skills

CPT/HCPCS coding

Medical billing

Healthcare regulations

Auditing

Attention to detail

Education

High School Diploma or GED

Job description

The Tohono O'odham Nation is seeking a Medical Billing Specialist to process alternate resources claims and ensure timely reimbursement. Under general supervision, you will verify documentation, code medical services, and work with third-party payers across TONHC facilities in Arizona.

Relocation to TONHC facilities may be required, and the role emphasizes accuracy, compliance with AMA/HCFA coding guidelines, and timely submission of claims to insurers.