PRC Claims Analyst: Medical Billing & EHR Specialist

The Mohegan Tribe Of Indians Of Connecticut; Montville (CT); On-site; USD 52,000 - 76,000; Full time

Job summary

The Mohegan Tribe Of Indians Of Connecticut is seeking a PRC Claims Analyst in Uncasville, CT to review, evaluate and process requests for assistance within the Tribal Purchased/Referred Care program.

Ideal candidates will have knowledge of ICD-10/CPT coding, medical terminology, and experience with EHR/billing systems; proficiency in Word/Excel and a commitment to confidentiality and organization is essential.

Qualifications

• High school diploma required.
• Three years’ experience in medical coding or billing.
• Two years’ experience with EHR or electronic billing system.
• Alternative: CPC or CPB with one year customer-facing or data-entry in medical office.

Responsibilities

• Review, evaluate and process requests for assistance for the PRC program.
• Maintain knowledge of IHS PRC programs and services.
• Apply ICD-10 and CPT coding to claims.
• Utilize EHR or electronic billing systems.
• Maintain confidentiality and strong organizational standards.

Skills

ICD-10/CPT coding

IHS PRC programs

Medicare/Medicaid policies

Word & Excel

EHR/billing systems

Confidentiality

Organizational skills

Medical terminology

Education

High school diploma

CPC/CPB

Tools

Word

Excel

Job description

The Mohegan Tribe Of Indians Of Connecticut is seeking a PRC Claims Analyst in Uncasville, CT to review, evaluate and process requests for assistance within the Tribal Purchased/Referred Care program.

Ideal candidates will have knowledge of ICD-10/CPT coding, medical terminology, and experience with EHR/billing systems; proficiency in Word/Excel and a commitment to confidentiality and organization is essential.