*NOTICE*

All CRIT job vacancies have a TWO-PART application process. Submission of your resume on Indeed is STEP ONE. You will receive a confirmation email in the following days after submission to your INDEED EMAIL ADDRESS. That email attachment contains the application of the Colorado River Indian Tribes. THIS IS STEP TWO. You will need to fill it out in its entirety, please list ALL JOBS applied for on Indeed and return via email to the same address. Please be sure your application is signed and all fields are complete. Any questions, please call 928-669-1320

DUTIES AND RESPONSIBILITES:

(THE FOLOWING ARE ILLUSTRATIONS OF THE TYPICAL DUTIES AND RESPONSIBILITIES OF THE INCUMBENTAND ARE NOT TO BE CONSTRUED AS ALL INCLUSIVE.)

The Department of Health and Social Services (DHSS)/Behavioral Health Services (BHS) Medical Billing Specialist (MBS) is responsible for the implementation of a system of medical billing service delivery through the review of medical records and documentation of service delivery; the coding of mental health, medical, and transportation services/procedures; the input of billing data into the Electronic Health Record (EHR), web-based patient billing systems for AHCCCS/Medicaid/CMS, and other billing programs or paper-based systems of third party insurance providers; the tracking of payment; and the review and resubmission of denied claims. The incumbent will manage, organize, and maintain patient/client billing records for the CRIT Behavioral Health Services (BHS) and the CRIT Community Health Representative (CHR) programs in compliance with DHSS/BHS/CHR policies and procedures and applicable federal, state, and Tribal laws, rules, regulations, and provider agreements including medical billing for clients served by the Alcohol and Substance Abuse Program (ASAP) as well as records of clients residing in the CRIT Residential Treatment Center (RTC). The incumbent will coordinate with medical and mental health professionals, paraprofessionals, other staff of the BHS/ASAP, outside providers, clients/patients, staff of the DHSS (including the Office of Social Services and Community Health Representatives) in the provision of medical billing services.

MAJOR DUTIES/RESPONSIBILITIES:

-Maintain all client/patient medical billing records and required documentation in accordance with applicable departmental, tribal, state, and federal standards, policies, rules, and laws.

-Review all client patient records submitted to the incumbent or requested by the incumbent in order to appropriate code services for the purpose of billing.

-Code outpatient, transportation, and RTC services based upon the standard coding practices of the industry (currently using ICD-9 codes).

-Develop and maintain a working knowledge of medical/mental health billing coding, the ICD-9 codes, the ICD-IO codes, CPT codes, HCPC codes, and all other standard codes required for the input of medical claims.

-Coordinate with DHSS, BHS/ASAP, CHR, and the Medical Records Technician regarding the implementation of the Electronic Health Record (EHR) system.

-Input and coordinate the input of all current patient/client billing information into the EHR.

-Input client/patient billing and coding information into web-based electronic billing systems for AHCCCS/Medicaid and all other applicable third-party insurance providers.

-Coordinate with the Executive Director of DHSS, the BHS Clinical Director, other staff as required, and outside agencies regarding the implementation of procedures for third party billing under the envisioned Arizona Insurance Exchange (AIE).

-Coordinate the application and interface of the medical billing portion of the EHR with the Medical Records Technician.

-Participate in/on intradepartmental, intra-tribal, and inter-agency committees, boards, work groups, and task teams as assigned.

-Abide by all aspects of the Health Insurance Portability and Accountability Act (HIPAA) with regard to services and client confidentiality.

- Perform all other duties as assigned.

QUALIFICATIONS:

EDUCATION and EXPERIENCE:

Minimum Qualifications

-High School Diploma or GED (prefer specific training and certification in Medical Billing)

-A minimum of two years professional experience in the field of medical billing, including AHCCCS billing.

-Specific training (formal or on-the-job) in the field of medical billing is required. Experience in mental health billing is preferred.

-Certification in Medical Billing, Healthcare Information Management, Electronic Health Records Management, or a related field is highly preferred.

-Extensive experience in the use of network-based computer systems and the management of billing systems is required.

OTHER QUALIFICATIONS:

-Possess a valid Arizona Driver’s License.

-Employment is subject to fingerprinting for the purpose of conducting a background review of possible criminal history in accordance with P.L. 101-630, Indian Child Protection and Family Violence Prevention Act.

-Maintain confidentiality in accordance with the Federal Health Insurance Portability and Accountability Act (HIPAA).

-Requires excellent written and oral communication skills.

-Requires excellent organizational skills and an ability to remain self-motivated.

APPLY:

C.R.I.T. HUMAN RESOURCES DEPARTMENT

26600 MOHAVE ROAD

PARKER, AZ 85344

FOR CRIT EMPLOYMENT APPLICATION VISIT: http://crit-nsn.gov

INDIAN PREFERENCE: Under Title VII of the Civil Rights Act Section 701 (b) and 703 (I) explicitly exempts from overage the preferential employment of Indians by Indian Tribes. Therefore, CRIT acknowledges and extends preferential treatment to enrolled CRIT members who qualify toward all employees or applicants based on race, color, sex, religion or national origin.

CRIT OFFERS: Health and Life Insurance, Pension Plan, Paid Holidays, Sick and Annual Leave. Pre-Employment Drug Screening is required.

Job Type: Full-time

Pay: Up to $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Are you an enrolled member of the Colorado River Indian Tribes?
• Do you currently have a level one fingerprint clearance card?

Education:

• High school or equivalent (Required)

License/Certification:

• Driver's License (Required)

Work Location: In person