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Salary: 16.65-19.98 :USD
The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaskas second-largest health employer with more than 3,100 employees offering an array of health services to people around the nations largest state.
Our vision: Alaska Native people are the healthiest people in the world.
ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:
Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org.
Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary:
Under normal supervision, prepare and process eligible billing claims for travel services. Reviews and adjusts accounts to ensure accurate and thorough processing of these claims.
Responsibilities:
Ensures high quality, timely completion of work, accurate data entry, efficient processes and positive working relationships among the supervised employees to include internal and external patient/ clients.
Requires strong analytical and business skills to set up and manage all aspects of billing systems according to Medicare, Medicaid, and Private Insurance.
Processes and prepares business and government forms.
Manages all electronic claims entry and processes.
Investigates all denied claims and edits for re-submission.
Performs quality assurance testing on all EMR programs to ensure accurate processing and compilation of data for required payers.
Assures timely billing and collections, achieve and maintain a collection rate of less than 30% with A/R of 60 days or greater.
Researches billing and coding requirements for new services as directed by Financial Operations Manager.
Maintains strong working knowledge of coding and changes in coding and modifiers.
Consults with Providers to resolve or clarify codes and diagnoses with conflicting, missing or unclear information.
Creates and edits templates and codes in the EMR system as directed by Providers.
Monitors and orders CPT/ICD-10 coding books for clinic staff.
Maintains Electronic Data interchange (EDI) systems for services.
Reviews, prepares and submits claims to all 3rd party payers. Identifies appropriateness of billable charges. Determines Primary Payer when more than one is listed. Provides documentation and /or reports with claims when necessary.
Identifies every billable expense and increases revenue in the most efficient and timely manner by preparing and submitting insurance claims and reviewing and adjusting accounts to ensure accurate and timely payments.
Prepares monthly aging reports.
Maintains strong knowledge of referral and claim processing software, master files and interface conversion tables.
Performs other duties as assigned.
Other information:
KNOWLEDGE and SKILLS
· Knowledge of electronic medical record systems.
· Knowledge of ICD-10 and CPT coding.
· Knowledge of medical insurance process.
· Knowledge of alternative health resources.
· Knowledge of customer service concepts and practice.
· Knowledge of basic medical terminology and clinic systems.
· Knowledge of the Privacy Act of 1974 and HIPAA Privacy Rule Act of 1966.
· Knowledge of state, federal, and tribal health care programs.
· Knowledge of state, federal and public/private insurance, including Medicaid/Medicare.
· Skill in working independently.
· Skill in grammar, spelling, sentence structure and effective business letter writing.
· Skill in operating office equipment, including copiers and fax machines.
· Skill in interpreting state, federal, and public/private insurance financing.
· Skill in establishing and maintaining cooperative working relationships with others.
· Skill in operating a personal computer utilizing a variety of software applications.
MINIMUM EDUCATION QUALIFICATION
A high school diploma or GED equivalent.
MINIMUM EXPERIENCE QUALIFICATION
Non-supervisory One (1) year experience in the medical office experience involving medical billing.
Other
$46k-58k (estimate)
04/05/2024
05/26/2024
anthc.org
Anchorage, AK
1,000 - 3,000