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Billing Specialist Job in Inchelium, Washington

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Job Title: Billing Specialist

Employer:Lake Roosevelt Community Health Centers
Type:FULL TIME
Skills:billing,coding
Specialties:General Medicine, Physical Therapy, Behavioral Health, Optometry
Preferred Certifications:,CPB,CPC or other coding certification considered. Willing to acquire within 1 year.
Required Experience:1 to 2 years
Location:PO Box 290, 39 Short Cut Rd Inchelium 99138, WA, US
Date Posted:9/3/2019

ESSENTIAL JOB FUNCTIONS AND STANDARDS:

 

1.      Excellent understanding of ICD10 requirements, CPT coding, Medicare, Medicaid, commercial carriers and general healthcare billing guidelines is preferred.

2.      Completes billing encounter by approving claims and submitting CMS-1500, UB or Patient Statement forms within the designated time frame.

3.      Applies sliding fee discounts, collection and patient billing policies.

4.      Accurately records conversations with patients or insurance companies in the patient’s notes.

5.      Reviews and acts on Explanation of Benefit (EOB) and Remittance Advice (RA’s) to ensure clean claims. Denials will be corrected and resubmitted (when applicable) within 30 days.

6.      Posts payments in a timely manner into A/R and generates reports as needed.

7.      Participates in RPMS training as available by staff and I.H.S. May require self study as directed.

8.      Regularly reports to billing supervisor any trends, changes or unusual activity as it relates to billing of services.

9.      Participate in any set up and implementation changes in computerized billing and collections systems if applicable.

10.  Performs clerical work including filing, documenting purging, faxing and general office functions.

11.  Assist with in processing insurance credentialing applications for medical, dental and behavioral health staff.

12.  As backup will assist in completing application process to sign providers up as preferred providers or eligible providers for various federal and private insurances.

13.  As backup will assist in maintaining credentialing data base for medical, dental and behavioral health staff.

14.  As backup will assist in maintaining and reconciling daily payments. (batching and running totals)

15.  Professional conduct, ethics, and confidentiality are expected at all times.

 

Other Duties (specific to each individual employee’s duties):

1.      May be asked to summarize, project or prepare statistical or other report information for presentation.

2.      May be asked to provide review of options for possible implementation

3.      All other duties and responsibilities deemed as needed and necessary.

Applying

Stefanie Lelone, Human Resources Manager
509-722-7686
stef.lelone@colvilletribes.com

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