Confederated Tribes of Warm Springs, Oregon · 12 hours ago
Health System Specialist
Warm Springs, OR
Full-time
Onsite
Mid Level
3+ years expThe Confederated Tribes of Warm Springs, Oregon is seeking a Health System Specialist. The role involves processing patient referrals, assisting with medical claims, and educating patients about the referral process.
CommunitiesGovernmentNatural Resources
Responsibilities
Process IHS patient referral to outside providers, verify & ensure all referrals are through IHS physicians & referred patients are MCP eligible
Provide assistance to outside provider offices regarding MCP referrals, claims & payments
Educate MCP patients of the referral process, applying for alternate resources, answering all patient & provider questions in a considerate & timely manner
Research & process medical claims weekly for prompt payment, resolve incomplete claims, process claims for denial
Receive & research patient billing statements, by calling providers and ensuring patient insurances are billed, and request all required documents to be submitted to MCP
Maintain Patient & Medical Records confidentiality
Maintain positive professional work relationships w/ Supervisor, coworkers, patients & providers
Positive attitude & high motivation are prime importance, must have a high work ethic w/ability to work under minimal supervision, and able to accomplish other duties as assigned
Qualification
Required
High School Diploma or equivalent
3 years medical office experience
Medical Terminology knowledge
Claims processing experience
Highly experienced with computers and telephone use
Proficient written and oral communication skills
Reliable attendance
Constructive workplace behavior
Must submit and pass a criminal background check with Federal, Tribal and State Law Enforcement
Benefits
Excellent medical insurance with low annual maximum-out-of-pocket costs, plus vision and dental.
Available flex spending plan for daycare and medical costs.
Also available are numerous supplemental insurance packages.
401(k) and or ROTH retirement with up to 5% employer matching after one year of employment.
Eleven days of paid holidays and Personal time off (PTO) accruing at 130 hours annually with increases after three years of continuous service.
Company
Confederated Tribes of Warm Springs, Oregon
Warm Springs is a nation where the sun shines most every day and time turns to the pace of a culture thousands of years in the making.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$250MKey Investors
US Department of Energy
2023-10-18Grant· $250M
Leadership Team
Jim Souers
CEO
Recent News
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