Confederated Tribes of the Colville Reservation · 1 month ago
Certified Billing Specialist (SS-44936)
Confederated Tribes of the Colville Reservation is seeking a Certified Billing Specialist. The role involves the accurate preparation and submission of medical claims to third-party payers, timely performance of billing functions, and effective communication with clients and providers regarding insurance inquiries.
Non Profit
Responsibilities
Responsible for the accurate preparation and submission of claims to third party payers
Responsible for the accurate and timely performance of medical billing functions
Communicates with clients and Providers regarding insurance questions; partnering with them to ensure accurate insurance information is received
Reviews and revise denials for resubmission to recoup claims
Complete daily reports for insurance verification, claims submission, insurance billing and research
Qualification
Required
High School Diploma or equivalent
24 months' experience in a related field
Certification from a nationally recognized financial Association such as HFMA, AAHAM, or AAPC and MUST maintain certification throughout the duration of employment
Working knowledge of the practices and terminology of medical billing and accounting data entry practices, and methods for maintaining source documentation files
Working knowledge of medical billing code sets including ICD-10, CPT and HCPCS
Knowledge of the scope of medical codes used by the Tribe
Well-developed computer skills, sufficient to use common office productivity software, specialized software for revenue cycle, spreadsheets, and databases
Sufficient writing skills to prepare basic business correspondence, pre-formatted reports, and account footnotes
Sufficient math skills to compute sums, quotients, products, ratios, percent's, and portions
Sufficient human relation skills to convey procedural information to others, train staff, and to deal effectively and positively with others on financial transactions
Knowledge of current Third Party billing regulations, policies and procedures including the use of modifiers
Work experience demonstrating the ability to multitask and follow through to completion
Work experience demonstrating the ability to meet strict deadlines while maintaining data integrity
Work experience involving strict confidentiality requirements
Ability to learn or current working knowledge of Tribal reimbursement standards
Ability to be detail oriented
Ability to communicate effectively both verbally and in writing
Ability to interact cooperatively and professionally with others
Ability to analyze and effectively solve problems
Ability to maintain a complete set of records and reports consistent with defined requirements
Ability to interact with a wide range of contacts with courtesy and patience
Ability to maintain the confidentiality of customer records and information
Ability to perform all of the clerical and record keeping duties of the position including operation of computer software programs designed for medical billing customer-focused revenue cycle
Ability to work as contributing member of a team, work productively and cooperatively with other teams and external customers, and convey a positive image of the Tribe and its services
Ability to work collaboratively with difficult customers
Company
Confederated Tribes of the Colville Reservation
Confederated Tribes of the Colville Reservation is non profit organization.
Funding
Current Stage
Late StageRecent News
The Journal Record
2025-03-11
2025-02-21
Company data provided by crunchbase